Mirtha Blanc III

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Practice address

1513 Climbing Dayflower Dr
Ruskin, FL 33570-4948

Phone

(813) 733-1726

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1306534334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CLIMBING DAYFLOWER DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CLIMBING DAYFLOWER DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704948",
            "telephone_number": "813-733-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANC",
        "first_name": "MIRTHA",
        "name_prefix": "Miss",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blissfully Living Home Care
• Amanda Boodhoo, DDS
• Andria P Boyd-Diggs
• Ariel Nicole Bracey
• Reyna Q Bragg, DOM AP

• Adult Development & Aging Psychologist in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Adult Development & Aging Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.