| Antonio E. Blanco, M.d., P.a. | |
|
30334 Old Dixie Hwy Homestead FL 33033-3215 | |
| (305) 271-7660 | |
| (305) 271-7599 |
| Full Name | Antonio E. Blanco, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 30334 Old Dixie Hwy, Homestead, Florida |
| Authorized Official Name and Position | Antonio E Blanco (PHYSICIAN) |
| Authorized Official Contact | 3052793955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio E. Blanco, M.d., P.a. 30334 Old Dixie Hwy Homestead FL 33033-3215 Ph: (786) 243-0149 | Antonio E. Blanco, M.d., P.a. 30334 Old Dixie Hwy Homestead FL 33033-3215 Ph: (305) 271-7660 |
| NPI Number | 1144315300 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144315300 | NPI | - | NPPES |
| 257737201 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0057421 (Florida) | Primary |
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