Charles H Blotner
Family Doctor - Adult Medicine
2512 Coco Plum Blvd #1302
Boca Raton
, Florida 33496-2055
Charles H Blotner
Family Doctor - Adult Medicine
2512 Coco Plum Blvd #1302
Boca Raton
, Florida 33496-2055
(248) 672-9325
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Charles H Blotner
- 2512 Coco Plum Blvd #1302
- Boca Raton, FL
- Zip : 33496-2055
- Phone : (248) 672-9325
Second Address
- Charles H Blotner
- 2512 Coco Plum Blvd #1302
- Boca Raton, FL
- Zip : 33496-2055
- Phone : (248) 672-9325
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | OS 7758 | FL |
National Provider Identifier
| NPI | 1245505403 |
|---|---|
| Provider Name | Charles H Blotner |
| First Address | Boca Raton, FL 33496-2055 |
| Second Address | Boca Raton, FL 33496-2055 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2012 |
| Last Update Date | 20/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.