Moline Jephtee Blanc
NPI #1215306998 in Orange City, Florida
Provider Information
- NPI Number
- 1215306998
- Entity Type
- Individual
- Name
- Moline Jephtee Blanc
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 23, 2015
- Last Updated
- Apr 7, 2016
Practice Location
- Address
- 1133 SAXON BLVD STE 200
- City
- Orange City
- State
- Florida
- ZIP Code
- 32763-8425
- Phone
- (386) 228-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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