Doctor Name: | ANNE DASKALOV DE BLANCO |
NPI Number: | 1003934563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME 34038 |
Business Practice Address: | 1881 Ne 26th St Ste 239 Wilton Manors, FL - 333051416 |
Business Phone Number: | 9545686177 |
Business Fax Number: | |
Mailing Address: | 3333 Ne 34th St, Ste 702 FORT LAUDERDALE |
State: | FL |
Postal Code: | 333086948 |
Phone Number: | 9545686435 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | ME 34038 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |