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

Moline Jephtee Blanc

Individual provider Physician Assistant · NPI 1215306998

Moline Jephtee Blanc is a Physician Assistant in Orange City, Florida. Graduated from University of Toledo College of Medicine in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Trained at
University of Toledo College of Medicine
Licensed in
FL
In the registry since
2015

Practice location Address checks out

1133 Saxon Blvd Ste 200
Orange City, FL 32763-8425
Phone: (386) 228-9700
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108843 (FL)

Record details

NPI number1215306998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2015
Last updated in NPPESApril 7, 2016
Mailing address1690 Dunn Ave Apt 314, Daytona Beach, FL 32114-1475

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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