DR. JACKY BRUCE BLANK (NPI# 1356667430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356667430 |
| Entity Type | Individual |
| Full Name | DR. JACKY BRUCE BLANK |
| Credential | M.D. |
| Practice Address |
6200 Sw 73 Street Miami FL 33143-7679 |
| Practice Telephone | 7866628400 |
| Practice Fax Number | 7866625314 |
| Mailing Telephone | 7866628400 |
| Mailing Fax Number | 7866625314 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME101336 | FL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD 030949 E | PA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME 101336 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6200 SW 73 STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33143-7679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
| Find all providers in zip 33143 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285961680 | Mehdi Mirsaeidi | Internal Medicine | 1600 Nw 10th Ave # 7060a, Miami, FL 33136-1015 | 2009-11-06 |
| 1013162213 | Lourdes Bosch Md Pa | Internal Medicine | 351 Nw Lejeune Rd Suite 406, Miami, FL 33126-5689 | 2008-12-02 |
| 1164644233 | Pulmonary Physicians Diagnostics LLC | Internal Medicine | 9035 Sunset Drive, Suite 103, Miami, FL 33176 | 2007-05-02 |
| 1104835099 | Jose M Birriel | Internal Medicine | 351 Nw 42nd Ave Ste 406, Miami, FL 33126-5689 | 2006-08-07 |
| 1194757302 | David Alfredo Orta Jr. | Internal Medicine | 7500 Sw 8 St, Suite 209, Miami, FL 33144 | 2006-07-07 |
| 1255376661 | Waddah Allaf Md Pa | Internal Medicine | 20200 W Dixie Hwy Ste 1108, Miami, FL 33180-1922 | 2006-06-19 |
| 1760426597 | Eduardo Jose Vasquez | Internal Medicine | 12905 Sw 42nd St Ste 213, Miami, FL 33175-2912 | 2006-06-15 |
| 1003894692 | Juan Luis Barrio | Internal Medicine | 9495 Sw 72nd St, Suite B210, Miami, FL 33173-3253 | 2006-01-04 |
| 1730165200 | Constantino Costarangos | Internal Medicine | 10251 Sw 72nd St, Suite A101, Miami, FL 33173-2957 | 2005-12-16 |
| 1982685624 | Eric A Lang | Internal Medicine | 1600 Nw 10th Ave, Miami, FL 33136-1015 | 2005-11-09 |
| Find all providers in MIAMI | ||||
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| 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.