CARLOS JAVIER BLANCO (NPI# 1568625200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568625200 |
| Entity Type | Individual |
| Full Name | CARLOS JAVIER BLANCO |
| Credential | MD |
| Practice Address |
92 W Miller St Orlando FL 32806-2032 |
| Practice Telephone | 4076496944 |
| Practice Fax Number | 3218414260 |
| Mailing Telephone | 4076496944 |
| Mailing Fax Number | 3218414260 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
ME111671 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
E-6685 | AR | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
57 014261 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004344300 | 05 | |
| FL | MEDICAL LICENSE | ME111671 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699716670 | Carlos Alberto Blanco | Family Medicine | 3845 Sw 148th Ter, Miramar, FL 33027-3313 | 2006-06-09 |
| 1396716635 | Carlos Blanco | Medical Genetics, Ph.D. Medical Genetics | Road No.2 Km. 47.7, Manati, PR 00674-0532 | 2006-01-26 |
| 1811594161 | Carlos E Blanco | Behavior Technician | 2930 Maguire Rd Ste 200, Ocoee, FL 34761-4750 | 2020-10-08 |
| 1275654154 | Carlos Blanco | Psychiatry & Neurology | 1051 Riverside Dr, New York, NY 10032-1007 | 2007-04-02 |
| 1326195405 | Carlos Blanco | Pharmacist | Farmacia San Antonio, 149 Tierra Santa, Villalba, PR 00766 | 2007-01-04 |
| 1811917081 | Carlos A Blanco | Physician Assistant | 10146 W Flagler St, Miami, FL 33174-1830 | 2006-07-20 |
| Street Address |
92 W MILLER ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265402424 | Thidaporn Tanpattana | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2006-01-23 |
| 1447869938 | Caroline Boudet Johnson | Nurse Practitioner | 92 W Miller St, Orlando, FL 32806-2032 | 2020-07-30 |
| 1699398461 | Kerri Lynn Telibasa | Nurse Practitioner | 92 W Miller St, Orlando, FL 32806-2032 | 2020-05-27 |
| 1295368215 | Amanda Rae Zakrajsek | Nurse Anesthetist, Certified Registered | 92 W Miller St, Orlando, FL 32806-2036 | 2020-02-18 |
| 1952947145 | Alexis Chloe Mcgavock | Registered Nurse | 92 W Miller St, Orlando, FL 32806-2032 | 2019-11-22 |
| 1457993933 | Britni Norris | Pediatrics | 92 W Miller St, Orlando, FL 32806-2036 | 2019-10-16 |
| 1154963809 | Alyssa Jane Grundon | Registered Nurse | 92 W Miller St, Orlando, FL 32806-2032 | 2019-10-15 |
| 1932662673 | Amar M Ingravera | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| 1154884807 | Keely B Larsen | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| 1154884815 | Shannen M Mcginley-vallee | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407023310 | Salvatore Joseph Buonaiuto | Pediatrics | 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 | 2008-05-09 |
| 1346276201 | Jorge Garcia | Pediatrics | 2501 N Orange Avenue, Suite 310, Orlando, FL 32804 | 2006-06-23 |
| 1376509166 | Rodrigo A Nehgme | Pediatrics | 50 W.stutervant Street, Orlando, FL 32806-4000 | 2006-04-21 |
| 1053380493 | Thomas J. Allen | Pediatrics | 1717 S. Orange Ave. Suite 100, Nemours Childrens Clinic Orlando, Orlando, FL 32806-2946 | 2006-03-17 |
| 1558335885 | Juan Manuel Bolivar | Pediatrics | 50 W Stutervant Street, Orlando, FL 32806-4000 | 2006-02-14 |
| 1417935362 | Mch Pediatric Cardiology,llc | Pediatrics | 92 W.miller Street, Orlando, FL 32806-2022 | 2006-01-02 |
| 1245218197 | Mch Pediatric Cardiology,llc | Pediatrics | 50 W. Stutervant Street, Orlando, FL 32806 | 2006-01-02 |
| 1326395096 | Eva H. Nunlist | Pediatrics | 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2012-08-13 |
| 1518212612 | Gerson Antonio Valencia Villeda | Pediatrics | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2012-07-16 |
| 1871818898 | Michael Joseph Farias | Pediatrics | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2010-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.