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Contact Information

LUIS M BLANCO, ARNP-C
1995 E OAKLAND PARK BLVD STE 250
FORT LAUDERDALE, FL33306-1149
 Phone: 615-657-4805
 Fax: 954-337-2733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LUIS M BLANCO · (Male)

NPI # 1790134641
Status Active
Credentials ARNP-C
Entity Individual
Enumeration date 06/10/2016
Last updated 09/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP 9404464
Hospital affiliation(s)
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
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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