Jacky Blank (NPI# 1356667430, PAC ID# 8628260809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1356667430 |
| PAC ID by PECOS | 8628260809 |
| Professional Enrollment ID | I20101029000959 |
| Full Name | Jacky Blank |
| Organization Legal Name | BENJAMIN AND BLANK LLC |
| Address |
6200 Sw 73 St South Miami FL 33143-4679 |
| Phone Number | 7866628400 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 4385896232 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100154 | SOUTH MIAMI HOSPITAL |
| 100008 | BAPTIST HOSPITAL OF MIAMI |
| 100125 | HOMESTEAD HOSPITAL |
| 100296 | DOCTORS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6200 Sw 73 St, South Miami, FL 33143-4679 | 7866628400 | BENJAMIN AND BLANK LLC |
| Organization Legal Name | BENJAMIN AND BLANK LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica Palmero Gonzalez | Pulmonary Disease | Benjamin and Blank LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Rodney G Benjamin | Pulmonary Disease | Benjamin and Blank LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Street Address |
6200 SW 73 ST |
| City | SOUTH MIAMI |
| State | FL |
| Zip | 33143-4679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yanisse Bonilla | Physician Assistant | The Hand Institute Pl | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Ricky K Lo | Physician Assistant | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Angie Amaro | Physician Assistant | Radiology Associates of South Florida LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Lexis M Strobel | Physician Assistant | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Steve J Olszewski | Radiation Oncology | Baptist Health Medical Group Oncology LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Marcio Fagundes | Radiation Oncology | Baptist Health Medical Group Oncology LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Howard Bar-eli | Orthopedic Surgery | Baptist Health Medical Group Orthopedics, LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| William Brown | Emergency Medicine | South Miami Criticare Inc | 6200 Sw 73 St, Miami, FL 33143-4679 |
| Ericka C Williams-haye | Physician Assistant | Radiology Associates of South Florida LLC | 6200 Sw 73 St, South Miami, FL 33143-4679 |
| Rigoberto Gonzalez | Internal Medicine | 6200 Sw 73 St, Miami, FL 33143-4679 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Guerra-valencia | Psychiatry | Advanced Multispecialty Medical Services LLC | 7031 Sw62nd Ave, Suite 4, South Miami, FL 33143 |
| Thomas R Maurno | Chiropractic | 5901 Sw74th St, Suite 209, South Miami, FL 33143 | |
| Orlando A Puente | General Surgery | 7400 Sw 62nd Ave, Miami, FL 33143 | |
| Carey Green | Cardiovascular Disease (cardiology) | 7000 Sw62nd Ave, Suite 520, South Miami, FL 33143 | |
| Xiomara Sampedro | General Practice | Advanced Multispecialty Medical Services LLC | 7031 Sw62nd Ave, Suite 4, South Miami, FL 33143 |
| Argelia D Galvez | Internal Medicine | 6240 Sw 85th Ave, Miami, FL 33143-1540 | |
| Erik Antony Cabrera | Psychiatry | Advanced Multispecialty Medical Services LLC | 6140 Sw70th St, Suite 2, South Miami, FL 33143-3419 |
| Alberto J Sabucedo | Internal Medicine | 6140 Sw 70th St, Fl 2, South Miami, FL 33143-3419 | |
| Carlos J Dominguez | Hematology/oncology | 6140 Sw 70 St, 200 Larkin Multispecialty Clinic, South Miami, FL 33143-3419 | |
| Christine R Marambio | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6110 Sw 70th St, South Florida Surgery Center, Miami, FL 33143-3419 |
| Find all physicians in zip 33143 | |||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SOUTH MIAMI + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Jacky Blank.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.