NPI | 1043413727 |
---|---|
Doing Business As | CARLOS A. BLANCO |
Entity Type | Organization |
Authorized Contact | CARLOS A BLANCO President 305-761-9392 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 71266) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2012-02-03 |