VIVIAN BLANQUISCO BILASANO
License Number: ME77619
Data As Of 6/23/2024
| Profession | Medical Doctor |
|---|---|
| License | ME77619 |
| License Status | CLEAR/Active |
| Qualifications | Dispensing Practitioner |
| License Expiration Date | 1/31/2025 |
| License Original Issue Date | 03/10/1999 |
| Address of Record | 1951 SW 172ND AVENUE STE 312 |
| SUITE 312 | |
| MIRAMAR, FL 33029 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
| Discipline on File | No |
| Public Complaint | No |
The information on this page is a secure, primary source for license verification provided by the Florida Department of Health, Division of Medical Quality Assurance. This website is maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.