DR. HARRY HERMAN BLANKE III


Address: 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114
Phone: 3864254167

DR. HARRY HERMAN BLANKE III (NPI# 1104347053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104347053
Entity Type Individual
Full Name DR. HARRY HERMAN BLANKE III
Credential MD
Practice Address 201 N Clyde Morris Blvd, Suite 200
Halifax Health Family Medicine Residency Program
Daytona Beach
FL 32114
Mailing Address 807 State Road 44
New Smyrna Beach
FL 32168-7271
Practice Telephone 3864254167
Mailing Telephone 3864255554
Mailing Fax Number 3864286291
Enumeration Date 2017-06-30
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME138930 FL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine TRN25062 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 201 N CLYDE MORRIS BLVD, SUITE 200
HALIFAX HEALTH FAMILY MEDICINE RESIDENCY PROGRAM
City DAYTONA BEACH
State FL
Zip Code 32114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376161380 Evolution Health & Performance LLC Physician Assistant 244 S. Palmetto Ave, Daytona Beach, FL 32114 2020-07-07
1407480189 Kierra Imani Kinsey Behavior Technician 1128-a Beville Rd, Daytona Beach, FL 32114 2020-03-02
1043776057 Outreach Community Care Network Inc Pharmacy 240 N. Frederick Avenue, Daytona Beach, FL 32114 2019-02-14
1033681861 Katherine Proppe Specialist/Technologist 1 Aerospace Blvd, Daytona Beach, FL 32114 2018-12-18
1841765047 Anna L Smith Nurse Practitioner 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 2018-10-04
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
1285116491 Walgreen Co Durable Medical Equipment & Medical Supplies 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 2018-09-04
1770085656 Merina Lee Occupational Therapist 1159 Australia Ave., Daytona Beach, FL 32114 2018-03-06
1346752755 Hand & Upper Extremity Surgery of Daytona Beach, LLC Non-Pharmacy Dispensing Site 1241 Ridgewood Ave, Daytona Beach, FL 32114 2017-10-26
1477089597 Plan Life Care LLC Home Health 601 Innovation Way, Daytona Beach, FL 32114 2017-05-10
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164063178 Jordann Wood Family Medicine 1890 Lpga Blvd Ste 140, Daytona Beach, FL 32117-7131 2019-10-01
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
1245636042 Dr Ejaz Ahmed Md Pa Family Medicine 405 North Clyde Morris Blvd, Daytona Beach, FL 32114-2730 2014-11-06
1063703833 Brittany O'dwyer Newton Family Medicine 201 N Clyde Morris Blvd Ste 210, Daytona Beach, FL 32114-2765 2011-04-27
1548498561 Ayodeji Ladele Family Medicine 1410 Lpga Blvd Ste 136, Daytona Beach, FL 32117-5146 2009-06-29
1417182932 Phillip Michael Mele Jr. Family Medicine 331 Williams Ave, Daytona Beach, FL 32118-3339 2009-05-28
1326280991 Kevin Anthony Johnson Family Medicine 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 2009-03-29
1265658744 Jessika Gil-pineda Family Medicine 1300 Red John Dr, Daytona Beach, FL 32124-1075 2007-04-17
1548381049 Andrew Jonathan Niewald Family Medicine 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 2007-04-02
1134229412 Donald Joseph Goddard Family Medicine 143 Executive Cir, Daytona Beach, FL 32114-1180 2006-09-25
Find all providers in DAYTONA BEACH

Competitor

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City DAYTONA BEACH
Zip Code 32114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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