NPI 1124299649

David a Blum M D P a

Organisation Specialist Plantation, FL

Practice location

Address: 301 NW 84th Avenue Suite 303, Plantation, FL 33324
Phone: (954) 888-1400
Fax: (954) 888-1446
Mailing address: 301 NW 84th Ave, Plantation, FL 33324-1807

Authorised official

Name: David a Blum
Title: President
Phone: (954) 888-1400

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME69382 (FL)

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Registry record

NPI: 1124299649
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 18 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.