Provider Demographics
NPI:1467516039
Name:BLANDINO, CARLOS FRANCISCO (LPN)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:FRANCISCO
Last Name:BLANDINO
Suffix:
Gender:M
Credentials:LPN
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Mailing Address - Street 1:12274 SW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1927
Mailing Address - Country:US
Mailing Address - Phone:305-498-3675
Mailing Address - Fax:305-553-5186
Practice Address - Street 1:529 SW 136 PLACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1927
Practice Address - Country:US
Practice Address - Phone:305-498-3675
Practice Address - Fax:305-553-5186
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic