Eileen M. Blackburn, PA-C
Physician Assistant, Medical in Sunrise, FL. Individual provider (NPI-1).
NPI number1790738490
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790738490
- Entity type
- Individual (NPI-1)
- Name
- Ms. Eileen M. Blackburn
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA 2181 | FL | Yes |
Practice location
14050 Nw 14th StSuite 190
Sunrise, FL 33323-2865
Phone 800-424-3672 · Fax 954-377-3042
Mailing address
206 2nd St EBradenton, FL 34208-1042
Phone 941-746-5111 · Fax 941-745-7206
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