Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 15686 | FL |
NPI | 1295162691 |
---|---|
Provider Name | Arturo Blanco |
First Address | Delray Beach, FL 33483-7469 |
Second Address | Delray Beach, FL 33483-7469 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2013 |
Last Update Date | 30/09/2013 |