Individual provider · Type 1 NPI

Gustavo Dario Blancas, ARNP

Acute Care Nurse Practitioner · Melbourne, FL

NPI number 1184054959 Active

Practice location

1350 Hickory St
Melbourne, FL 32901

Call (321) 434-1771 Map

Fax (321) 434-1775

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	APRN9268820 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1184054959

Gustavo Dario Blancas, ARNP's National Provider Identifier is 1184054959, issued on Nov 15, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Melbourne, FL. The record was last updated on Apr 8, 2019.