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General NPI Number Information
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NPI Number | 1457858995
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Entity Type | Individual
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Provider Name | ANAMARYS BLANCO FERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 655 W 8TH ST FL CENTER5
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-244-3932
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Fax | 904-244-3629
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Provider Business Mailing Address
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Address Line | 400 HEALTH PARK BLVD
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-5784
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Country | US
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Telephone | 904-819-5155
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Fax | 352-273-8889
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME172961
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME172961
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME172961
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License Number State | FL
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