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1821193772
BENROE W BLOUNT
LAKELAND, FL
NPI
1821193772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME123575)
Enumeration Date
2006-09-14
Last Update Date
2017-02-17
Business Address
-- BENROE W BLOUNT M.D.
206 N FLORIDA AVE
LAKELAND, FL 33801-4902
Phone number: 863-209-7003
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Mailing Address
-- BENROE W BLOUNT M.D.
1395 NW 167TH ST
MIAMI, FL 33169-5742
Phone number: 305-831-4761
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