Alice Blavo, DO | |
5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | |
(305) 662-8668 | |
(305) 662-3723 |
Full Name | Alice Blavo |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 5955 Ponce De Leon Blvd, Coral Gables, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053309617 | NPI | - | NPPES |
263661700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS7055 (Florida) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | OS7055 (Florida) | Primary |
Entity Name | Emergency Pediatric Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194854034 PECOS PAC ID: 5991094609 Enrollment ID: O20160519001921 |
Mailing Address | Practice Location Address |
---|---|
Alice Blavo, DO 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 Ph: (305) 662-8668 | Alice Blavo, DO 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 Ph: (305) 662-8668 |
Dr. Carol Lebischak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Grand Ave, Coral Gables, FL 33133 Phone: 305-441-7179 Fax: 305-448-7134 | |
Dr. Rebecca Jane Mcpherson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 Fax: 305-663-5948 | |
Phuket Tantivit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-662-8668 Fax: 305-662-3723 | |
Dr. Majd Dardas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 | |
Ernesto E Erdmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 358 San Lorenzo Ave., Suite 3230, Coral Gables, FL 33146 Phone: 305-444-6882 Fax: 305-441-9110 | |
Liat Corcia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4425 Ponce De Leon Blvd, Suite 115, Coral Gables, FL 33146 Phone: 305-667-3152 |