| Organization Name: | D&K BLY INTERNATIONAL LLC |
| NPI Number: | 1194024992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD A BLY (MANAGING DIRECTOR) |
| Mailing Address: | 1614 South St Key West |
| State: | FL US |
| Postal Code: | 330403515 |
| Phone Number: | 3057353920 |
| Fax Number: | 3053288304 |
| NPI Enumeration Date: | 03/18/2011 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS10451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |