Javier Diaz Blanco, MD | |
701 W Cocoa Beach Cswy, Center For Neonatal Care, Cocoa Beach, FL 32931-3585 | |
(407) 303-2528 | |
(407) 303-2509 |
Full Name | Javier Diaz Blanco |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 701 W Cocoa Beach Cswy, Cocoa Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093741670 | NPI | - | NPPES |
042038700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | ME42915 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Mailing Address | Practice Location Address |
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Javier Diaz Blanco, MD 2501 N Orange Ave Ste 446, Orlando, FL 32804-4644 Ph: (407) 303-2528 | Javier Diaz Blanco, MD 701 W Cocoa Beach Cswy, Center For Neonatal Care, Cocoa Beach, FL 32931-3585 Ph: (407) 303-2528 |
Dr. Kimberly Dozier-thornton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 699 W Cocoa Beach Cswy Ste 401, Cocoa Beach, FL 32931 Phone: 321-784-5437 | |
Dr. Aniela Jan Borowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 699 W Cocoa Beach Cswy Ste 401, Cocoa Beach, FL 32931 Phone: 321-636-3066 Fax: 321-636-2545 | |
Dr. Richard Ohern, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 699 W Cocoa Beach Cswy, Suite 401, Cocoa Beach, FL 32931 Phone: 321-784-5437 Fax: 321-799-1231 |