Luis M Blanco (NPI# 1790134641, PAC ID# 2365725652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790134641 |
| PAC ID by PECOS | 2365725652 |
| Professional Enrollment ID | I20170211000133 |
| Full Name | Luis M Blanco |
| Address |
8201 W Broward Boulevard Plantation FL 33324-2701 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100281 | MEMORIAL HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 | 9544365000 | FLORIDA PRACTITIONERS, LLC |
| 8201 W Broward Blvd, Plantation, FL 33324-2701 | 9544736600 | FLORIDA PRACTITIONERS, LLC |
| 8201 W Broward Boulevard, Plantation, FL 33324-2701 |
| Street Address |
8201 W BROWARD BOULEVARD |
| City | PLANTATION |
| State | FL |
| Zip | 33324-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Yachter | Chiropractic | 10189 Cleary Blvd, Suite 103, Plantation, FL 33324-1027 | |
| Jeffrey E Sager | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Candice Mansito | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Robert S Leshaw | Chiropractic | 10063 Cleary Blvd, Plantation, FL 33324-1063 | |
| Abram Berens | Family Medicine | 969 N Nob Hill Rd, Plantation, FL 33324-1078 | |
| Ivy Lawson | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 10781 Nw 5th St, Plantation, FL 33324-1518 |
| Mark Herman | Chiropractic | 301 Nw84th Ave, Suite 301, Plantation, FL 33324-1807 | |
| Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Alejandro R Luna | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Kim R Nickelson | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Find all physicians in zip 33324 | |||
| City | PLANTATION |
| Zip Code | 33324 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PLANTATION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Luis M Blanco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.