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Contact Information

HARRY H BLANKE III, MD
201 N CLYDE MORRIS BLVD, SUITE 200
HALIFAX HEALTH FAMILY MEDICINE RESIDENCY PROGRAM
DAYTONA BEACH, FL32114
 Phone: 386-425-4167
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HARRY H BLANKE III · (Male)

NPI # 1104347053
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2017
Last updated 09/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME138930
  • FL License # TRN25062
Hospital affiliation(s)
  • BERT FISH MEDICAL CENTER - (Acute Care)
    401 PALMETTO ST
    NEW SMYRNA BEACH, FL 32170
  • FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER - (Acute Care)
    301 MEMORIAL MEDICAL PARKWAY
    DAYTONA BEACH, FL 32117
  • HALIFAX HEALTH MEDICAL CENTER - (Acute Care)
    303 N CLYDE MORRIS BLVD
    DAYTONA BEACH, FL 32114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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