Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Harry Herman Blanke III, MD

Individual provider Family Medicine Physician · NPI 1104347053

Dr. Harry Herman Blanke III, MD is a Family Practice in Daytona Beach, Florida. Qualified in 2017, 9 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 N Clyde Morris Blvd Ste 200 Halifax Health Family Medicine Residency Program
Daytona Beach, FL 32114
Phone: (386) 425-4167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME138930 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence TRN25062 (FL)

Record details

NPI number1104347053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2017
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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