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

Dr. Jacky Bruce Blank, MD

Individual provider Pulmonary Disease Physician · NPI 1356667430

Dr. Jacky Bruce Blank, MD is a Pulmonary Disease in Miami, Florida. Qualified in 1979, 47 years ago. Practices with Benjamin and Blank LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Pennsylvania.

Years since qualifying
47
Licensed in
FL, PA
In the registry since
2010
Specialties on file
3
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

6200 SW 73 St
Miami, FL 33143-7679
Phone: (786) 662-8400
Fax: (786) 662-5314
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence ME101336 (FL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence ME 101336 (FL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD 030949 E (PA)

Record details

NPI number1356667430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2010
Last updated in NPPESJanuary 28, 2011
Mailing address6200 Sw 73 Street, Miami, FL 33143-7679

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Benjamin And Blank Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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