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

Dr. Kattia Blanco, MD

Individual provider General Practice Physician · NPI 1366140873

Dr. Kattia Blanco, MD is a General Practice in Bushnell, Florida. Qualified in 2002, 24 years ago. Practices with Lowell F. Clark MD PA, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2023
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

212 S Fla St
Bushnell, FL 33513-6703
Phone: (404) 775-4390
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1642 (FL)

Record details

NPI number1366140873
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address2238 Southwood Dr, The Villages, FL 32162-3845

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lowell F. Clark Md Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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