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NPI Code Detail

MEDICARE: MIMI ABELLA-BLANCO MD

MEDICARE:   MIMI  ABELLA-BLANCO  MD
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
1208000000XPediatrics PhysicianME65990FL

Other Identifiers

General Provider Information

NPI Number : 1881682953
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIMI ABELLA-BLANCO MD
Provider Business Mailing Address
First Line : 10300 SW 72ND ST
Second Line : SUITE 351
City : MIAMI
State : FL
Zip : 33173-3012
Country : US
Telephone Number : 305-273-1200
Fax Number : 305-273-1400
Provider Business Practice Location Address
First Line : 10300 SW 72ND ST
Second Line : SUITE 351
City : MIAMI
State : FL
Zip : 33173-3012
Country : US
Telephone Number : 305-273-1200
Fax Number : 305-273-1400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 11/04/2011

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:
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1124013388 — PAMELA LARCADA M.D.
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1477548204 — JOHANNES LOPEZ M.D.
Practice Location Address:
10300 SW 72ND ST , SUITE #351
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1497733067 — NEW LIFE MEDICAL CENTER INC
Practice Location Address:
10300 SW 72ND ST , SUITE 319
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1265481766 — DR. MARIO E REYES-SERRANO M.D.
Practice Location Address:
10300 SW 72ND ST , SUITE 311
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1598717621 — FIRST CHOICE DIAGNOSTIC CENTER
Practice Location Address:
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Directions to “ MIMI ABELLA-BLANCO MD” Practice Location

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