Provider Demographics
NPI:1881688497
Name:BLYN, RHONDA J (MD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:J
Last Name:BLYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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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:727-364-4270
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:727-364-4270
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2010-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME49764207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062539600Medicaid
FLD20902Medicare UPIN