| NPI | 1104347053 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-06-30 |
| Last Updated | 2020-09-29 |
| Mailing Address | 807 State Road 44 New Smyrna Beach, FL 32168-7271 United States Phone: (386) 425-5554 | Fax: (386) 428-6291 📍 View Map |
| Primary Practice Address | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program Daytona Beach, FL 32114 United States Phone: (386) 425-4167 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | FL | TRN25062 |
| Yes | 207Q00000X – Family Medicine | FL | ME138930 |
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About NPI 1104347053
Harry Herman Blanke MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104347053. The primary specialty listed is Family Medicine. The provider is located in Daytona Beach, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-06-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104347053?
NPI 1104347053 belongs to Harry Herman Blanke MD, a Family Medicine in Daytona Beach, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104347053 active?
The current status of NPI 1104347053 in the NPPES registry is Active. The record was last updated on 2020-09-29.
What specialty is NPI 1104347053?
NPI 1104347053 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104347053?
You can verify NPI 1104347053 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104347053?
The primary practice address on file for NPI 1104347053 is 201 N Clyde Morris Blvd, Suite 200, Daytona Beach, FL 32114. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104347053 issued?
NPI 1104347053 was first issued (enumerated) on 2017-06-30. The NPPES record was last updated on 2020-09-29.
Practice Location Map
Harry Herman Blanke is located at 201 N Clyde Morris Blvd, Suite 200, Daytona Beach, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Harry Herman Blanke. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104347053. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | TRN25062 | FL |
| Family Medicine | ME138930 | FL |