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General NPI Number Information
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NPI Number | 1639129505
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Entity Type | Individual
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Provider Name | ROBERT E BLAIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 5130 LINTON BLVD SUITE B-5
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6596
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Country | US
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Telephone | 561-499-2277
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Fax | 561-499-0775
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Provider Business Mailing Address
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Address Line | PO BOX 6746
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City | DELRAY BEACH
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State | FL
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Zip | 33482-6746
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Country | US
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Telephone | 561-499-2277
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Fax | 561-499-0775
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME 12838
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License Number State | FL
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