Provider Demographics
NPI:1235196098
Name:BLINSKI, DARRYL JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:JAY
Last Name:BLINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 MANOR LN STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4953
Mailing Address - Country:US
Mailing Address - Phone:305-598-0091
Mailing Address - Fax:305-598-0093
Practice Address - Street 1:7775 SW 87TH AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-598-0091
Practice Address - Fax:305-598-0093
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME31448208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery