DR JOHNNY J DI BLASI DO PC; NPI #1013378165

Contact Information

DR JOHNNY J DI BLASI DO PC

3 WASHINGTON AVE
GAINESVILLE, GA 30501-4135

Phone: 904-482-9673
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for DR JOHNNY J DI BLASI DO PC

NPI Number 1013378165

LBN Legal business name DR JOHNNY J DI BLASI DO PC

Authorized official JOHNNY DI BLASI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/17/2016

Last updated 03/17/2016 - About 10 years ago

Identifiers

License #

75206

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DR JOHNNY J DI BLASI DO PC

Contact Information

Specialty

General Practice

NPI Profile & details for DR JOHNNY J DI BLASI DO PC

Reviews for DR JOHNNY J DI BLASI DO PC