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John Blackburn
NPI 1700417490 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1995 Thunder Rd
Eagle Lake, FL 33839 - Phone
- (863) 224-4085
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida