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Carlos
Carlos
Blanco
Physician assistant
Medical director
Miami, United States
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Profile Summary
Full name
carlos blanco
Job Title
registerde nurse
Company Name
um health hospital
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Carlos Blanco
Job Title
Physician Assistant
Qualifications
Prescribing
License Number
PA9100285
License Status
Clear/Active
License Issue Date
17/09/1998
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
CARLOS BLANCO
Job Title
Physician Assistant
Location
Miami, FL, USA
LIC ID
2377
Current License Expiration Date
31/01/2026
Original Date
17/09/1998
Professional Rank Code
PA
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
MIAMI FAMILY MEDICAL CENTER
Practice Location Address Line 2
10146 WEST FLAGLER STREET
Practice Location Address City
MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33174
Mode Code
Prescribing
Prescribing Indicator
N
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