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NPI Code Detail

MEDICARE: MISS JOANNA MARIA BLANCO

MEDICARE:  MISS JOANNA MARIA BLANCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSZ5883FL

General Provider Information

NPI Number : 1184971830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JOANNA MARIA BLANCO
Provider Business Mailing Address
First Line : 12041 SW 64TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33156-5533
Country : US
Telephone Number : 305-322-8316
Fax Number :
Provider Business Practice Location Address
First Line : 12041 SW 64TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33156-5533
Country : US
Telephone Number : 305-322-8316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2012
Last Update Date : 08/13/2012

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Directions to “ MISS JOANNA MARIA BLANCO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.