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MIMI ABELLA-BLANCO MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1881682953

Individual Registrant:
 MIMI  ABELLA-BLANCO MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10300 SW 72ND ST SUITE 351 MIAMI, FL 33173-3012 US
Tel: 305-273-1200  Fax: 305-273-1400

Contact information for business:
10300 SW 72ND ST SUITE 351 MIAMI, FL 33173-3012 US
Tel: 305-273-1200  Fax: 305-273-1400

Registration Information:
NPI: 1881682953
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
FLME65990

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
375928800FL05




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