Blavo, Alice

Blavo, Alice is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146-2423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Blavo, Alice can be contacted via phone (305) 662-8668.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423
Phone: (305) 662-8668
Fax: (305) 662-3723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS7055 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X OS7055 Florida

Profile Details

NPI number 1053309617
LBN Legal business name Blavo, Alice
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053309617 NPPES
Florida MEDICAID 263661700

Popular Providers