Individual provider · Type 1 NPI

Eileen M. Blackburn, PA-C

Medical Physician Assistant · Sunrise, FL

NPI number 1790738490 Active

Practice location

14050 NW 14th St, Suite 190
Sunrise, FL 33323-2865

Call (800) 424-3672 Map

Fax (954) 377-3042

Mailing address

206 2nd St E
Bradenton, FL 34208-1042

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 2181 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1790738490

Eileen M. Blackburn, PA-C's National Provider Identifier is 1790738490, issued on May 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sunrise, FL. The record was last updated on Jul 13, 2026.