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Contact Information

ALAN R BLACKBURN II, MD
1050 SE MONTEREY RD STE 400
STUART, FL34994-4512
 Phone: 772-288-2400
 Fax: 772-419-0144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALAN R BLACKBURN II · (Male)

NPI # 1588950547
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 11/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME130977
  • GA License # 4772
  • Other JD517Z MEDICARE
Hospital affiliation(s)
  • MARTIN MEMORIAL MEDICAL CENTER - (Acute Care)
    200 SE HOSPITAL AVE
    STUART, FL 34995
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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