Doctor Name: | THOMAS BLEHL |
NPI Number: | 1780728352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0056165 |
Business Practice Address: | 1701 W Wetherbee Rd Box 2466 Orlando, FL - 328376591 |
Business Phone Number: | 4074650000 |
Business Fax Number: | |
Mailing Address: | Po Box 772466, ORLANDO |
State: | FL |
Postal Code: | 328772466 |
Phone Number: | 4074650000 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0056165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |