NPI 1003365719

Abigail Blackman

Practitioner Other Technician Melbourne, FL

Practice location

Address: 150 W University Blvd, Melbourne, FL 32901-6982
Phone: (321) 674-8106
Fax: (321) 674-8411

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Florida →

Registry record

NPI: 1003365719
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2016
Record last updated: 23 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.