J Joaquin Blanco, MD
Pediatrics in Boca Raton, FL. Individual provider (NPI-1).
NPI number1619083789
StatusActive
Last updated in NPPESMar 1, 2016
Details
- NPI
- 1619083789
- Entity type
- Individual (NPI-1)
- Name
- J Joaquin Blanco
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Mar 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 26706 | FL | Yes |
Other names
- Jack J Blanco (Professional Name)
Practice location
951 Nw 13th St5d
Boca Raton, FL 33486
Phone 561-392-7266 · Fax 561-392-7266
Mailing address
951 Nw 13th St5d
Boca Raton, FL 33486
Phone 561-392-7266 · Fax 561-392-7155
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