Alice Blavo
D.O. | Pediatric Cardiology | Female
Alice Blavo, D.O. is a Coral Gables, Florida based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Alice Blavo is
5955 Ponce De Leon Blvd, Coral Gables, Florida - 33146-2423. She can be contacted on phone at
305-662-8668 and fax number 305-662-3723.
Alice Blavo is a sole proprietor of her business.
NPI number (Unique professional ID) for Alice Blavo is
1053309617 which was assigned by NPPES on 07 Oct, 2005 and it was last updated on 25 Mar, 2014.
Alice Blavo license number is
OS7055 for Pediatrics Pediatric Cardiology (2080P0202X) in Florida.
Alice Blavo provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Alice Blavo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Alice Blavo |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Alice Blavo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5955 Ponce De Leon Blvd
Coral Gables, FL, 33146-2423
United States |
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| Phone Number : | 305-662-8668 |
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| Fax Number : | 305-662-3723 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053309617 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Oct, 2005 |
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| Last Updated On : | 25 Mar, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alice Blavo are as mentioned. Primary taxonomy code for Alice Blavo, D.O. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | OS7055 | FL |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | OS7055 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Alice Blavo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 263661700 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5955 Ponce De Leon Blvd
Coral Gables, FL, 33146-2423
United States |
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| Phone Number : | 305-662-8668 |
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| Fax Number : | 305-662-3723 |
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Business Location:
Patients can refer following map for directions to
Alice Blavo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.