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Robert D Blanken, PA
Surgical Physician Assistant in Jacksonville, Florida
NPI 1134197247

Robert D Blanken is a Surgical Physician Assistant based in Orlando, FL and is specialized in Surgical. Robert D Blanken practices in Jacksonville, FL and has the professional credentials of PA. The NPI Number for Robert D Blanken is 1134197247 and holds a License No. 15-00330 (Florida).

The current practice location address for Robert D Blanken is 1 Shircliff Way, Jacksonville, FL and can be reached out via phone at 904-308-7300.

Location: 1 Shircliff Way, Jacksonville, FL, 32886-3026
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Provider Profile Details
NPI Number
1134197247
Provider Name
Robert D Blanken
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1 Shircliff Way, Jacksonville, FL, 32886-3026
Phone Number
904-308-7300
Fax Number
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970016674 01 KS RAILROAD MEDICARE
100343040B 05 KS
institution
Provider Business Practice Location Address Details
Address
1 Shircliff Way
City
State
Zip
32204-4748
Phone Number
904-308-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1 Shircliff Way
City
State
Zip
32204-4748
Phone Number
904-308-7300
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
15-00330 (Kansas)
Definition
Definition to come...
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