Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME 0056059 | FL |
NPI | 1346234796 |
---|---|
Provider Name | Dr. Kalman David Blumberg |
First Address | Ft Lauderdale, FL 33308-2226 |
Second Address | Ft Lauderdale, FL 33308-2226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 06/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E67920 | (02) |