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

MS. Eileen M. Blackburn, PA-C

Individual provider Medical Physician Assistant · NPI 1790738490

MS. Eileen M. Blackburn, PA-C is a Medical Physician Assistant in Sunrise, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14050 NW 14th St Ste 190
Sunrise, FL 33323-2865
Phone: (800) 424-3672
Fax: (954) 377-3042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 2181 (FL)

Record details

NPI number1790738490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2026
Mailing address206 2nd St E, Bradenton, FL 34208-1042

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