MEDICARE: ASHLEY BLAND

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
1	104100000X	Social Worker		FL

General Provider Information

NPI Number	:	1700232071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BLAND

Provider Business Mailing Address
First Line	:	2300 N ORANGE AVE
Second Line	:	SUITE 2300
City	:	ORLANDO
State	:	FL
Zip	:	32804-5511
Country	:	US
Telephone Number	:	877-646-3374
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 N ORANGE AVE
Second Line	:	SUITE 2300
City	:	ORLANDO
State	:	FL
Zip	:	32804-5511
Country	:	US
Telephone Number	:	877-646-3374
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	05/05/2016

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Directions to “ ASHLEY BLAND ” Practice Location

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