Provider Demographics
NPI:1194926964
Name:BLYUMIN-KARASIK, MARIANNA LARISA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIANNA
Middle Name:LARISA
Last Name:BLYUMIN-KARASIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3501 S UNIVERSITY DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2001
Mailing Address - Country:US
Mailing Address - Phone:956-499-8034
Mailing Address - Fax:954-998-0344
Practice Address - Street 1:3501 S UNIVERSITY DR
Practice Address - Street 2:SUITE 5
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2001
Practice Address - Country:US
Practice Address - Phone:954-998-0345
Practice Address - Fax:954-998-0344
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2017-01-17
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Provider Licenses
StateLicense IDTaxonomies
FLME103796207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCA005ZMedicare UPIN