| Doctor Name: | MISS JIMENA GABRIELA BLANCO |
| NPI Number: | 1538464466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SZ5316 |
| Business Practice Address: | 15924 Sw 92nd Ave Palmetto Bay, FL - 331571842 |
| Business Phone Number: | 3059711230 |
| Business Fax Number: | 3059713095 |
| Mailing Address: | 10091 Nw 6th Terrace, MIAMI |
| State: | FL |
| Postal Code: | 331724064 |
| Phone Number: | 3056082021 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2011 |
| NPI Last Update Date: | 01/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SZ5316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |