Diaz Blanco, Javier

Diaz Blanco, Javier is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy Center For Neonatal Care, Cocoa Beach FL 32931-3585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Diaz Blanco, Javier can be contacted via phone (407) 303-2528.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Center For Neonatal Care Cocoa Beach FL 32931-3585
Phone: (407) 303-2528
Fax: (407) 303-2509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME42915 Florida

Profile Details

NPI number 1093741670
LBN Legal business name Diaz Blanco, Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 28th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093741670 NPPES
Florida MEDICAID 042038700

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