Organization · Type 2 NPI

Blaise Podiatry

Foot & Ankle Surgery Podiatrist · Miami, FL

NPI number 1104267673 Active

Practice location

3500 NW 17th Ave
Miami, FL 33142-5540

Call (305) 761-1262 Map

Fax (305) 675-8164

Mailing address

9640 NW 10th Ct
Plantation, FL 33322-4851

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO3526 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104267673

Blaise Podiatry's National Provider Identifier is 1104267673, issued on Jul 12, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Miami, FL. The record was last updated on Jan 22, 2019.