JACKY BLANK MD PA - NPI 1285961227 - Internal Medicine in Aventura, FL

Q: What is Jacky Blank MD PA's NPI number?

The NPI number for Jacky Blank MD PA is 1285961227. It was assigned to this organization in the NPPES registry on November 12, 2009.

Q: What is Jacky Blank MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Blank MD PA was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Jacky Blank Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKY BLANK MD PA (NPI 1285961227) is a healthcare organization registered as a pulmonary disease in Aventura, Florida and active in the NPI registry since November 2009. The organization lists Jacky Bruce Blank, Director, as its authorized official.

NPPES Registry Identity

NPI1285961227

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameJACKY BLANK MD PA

Location Address20814 W DIXIE HWYAventura, FL 33180-1147

Mailing Address20814 W Dixie HwyAventura, FL 33180-1147 · (305) 933-8433

Phone(305) 933-8433

Organization SubpartNo

Authorized OfficialJacky Bruce BlankDirector · (305) 933-8433

Enumeration DateNovember 12, 2009

✔ NPI 1285961227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · ME 101336

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

20814 W DIXIE HWY, Aventura, FL 33180

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDELSTEIN & BUSTAMANTE M.D.'S, P.A.

Internal Medicine (Infectious Disease)