Dr. Alan Ryan Blackburn II
Orthopaedic Surgeon Surgery of the Hand
1050 Se Monterey Rd Ste 400
Stuart
, Florida 34994-4512
Dr. Alan Ryan Blackburn II
Orthopaedic Surgeon Surgery of the Hand
1050 Se Monterey Rd Ste 400
Stuart
, Florida 34994-4512
(772) 419-0144
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About
Features
Specialties
- Orthopaedic Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Alan Ryan Blackburn II
- 1050 Se Monterey Rd Ste 400
- Stuart, FL
- Zip : 34994-4512
- Fax : (772) 419-0144
- Phone : (772) 288-2400
Second Address
- Dr. Alan Ryan Blackburn II
- 1050 Se Monterey Rd Ste 400
- Stuart, FL
- Zip : 34994-4512
- Fax : (772) 419-0144
- Phone : (772) 288-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 4772 | GA |
| Y | 2086S0105X | Surgery of the Hand | ME130977 | FL |
National Provider Identifier
| NPI | 1588950547 |
|---|---|
| Provider Name | Dr. Alan Ryan Blackburn II |
| First Address | Stuart, FL 34994-4512 |
| Second Address | Stuart, FL 34994-4512 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2011 |
| Last Update Date | 19/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| JD517Z | MEDICARE (01) |
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.