Provider Demographics
NPI:1780815233
Name:RHONDA J BLYN MD PA
Entity Type:Organization
Organization Name:RHONDA J BLYN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BLYN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-364-4270
Mailing Address - Street 1:5625 WESTSHORE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3034
Mailing Address - Country:US
Mailing Address - Phone:727-364-4270
Mailing Address - Fax:727-842-3755
Practice Address - Street 1:5625 WESTSHORE DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3034
Practice Address - Country:US
Practice Address - Phone:727-364-4270
Practice Address - Fax:727-842-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49764207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty