Wyndal K Blankenship MD PA

NPI #1316930571 in Valparaiso, Florida

Provider Information

NPI Number: 1316930571
Entity Type: Organization
Organization Name: Wyndal K Blankenship MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Aug 23, 2005
Last Updated: Dec 8, 2009

Practice Location

Address: 120 S JOHN SIMS PKWY
City: Valparaiso
State: Florida
ZIP Code: 32580-1212
Phone: (850) 678-6621

Authorized Official

Name: DEBBIE J ANDERSON
Title: INS MANAGER
Phone: (850) 678-6621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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