Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | ME57204 | FL |
NPI | 1043242639 |
---|---|
Provider Name | Ricardo H Blondet |
First Address | Miami, FL 33137-2883 |
Second Address | Miami, FL 33137-2883 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 15/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64314900 | (05) | FL |
E69961 | (02) | FL |