Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME69382 | FL |
NPI | 1144286022 |
---|---|
Provider Name | Dr. David A Blum |
First Address | Plantation, FL 33324-3166 |
Second Address | Plantation, FL 33324-3166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H66522 | (02) | FL |