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Dr. Kris M Bly, DO
Emergency Medical Services (Emergency Medicine) Physician in Orange City, Florida
NPI 1497700223

Kris M Bly is a Emergency Medical Services (Emergency Medicine) Physician based in Orange City, FL and is specialized in Emergency Medical Services. Kris M Bly practices in Orange City, FL and has the professional credentials of DO. The NPI Number for Kris M Bly is 1497700223 and holds a License No. OS10451 (Florida).

The current practice location address for Kris M Bly is 2777 Enterprise Rd, Orange City, FL and can be reached out via phone at 386-774-2550 and via fax at 386-774-5667.

Location: 2777 Enterprise Rd, Orange City, FL, 32763-8310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497700223
Provider Name
Kris M Bly
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2777 Enterprise Rd, Orange City, FL, 32763-8310
Phone Number
386-774-2550
Fax Number
386-774-5667
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02001471B 01 IN CSR
17085 01 FL BCBSFL
02001471A 01 IN INDIANA LICENSE
0S10451 01 FL FLORIDA LICENCE
institution
Provider Business Practice Location Address Details
Address
2777 Enterprise Rd
City
Orange City
State
Florida
Zip
32763-8310
Phone Number
386-774-2550
Fax Number
386-774-5667
person
Provider Business Mailing Address Details
Address
2777 Enterprise Rd
City
Orange City
State
Florida
Zip
32763-8310
Phone Number
386-774-2550
Fax Number
386-774-5667
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
OS10451 (Florida)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OS10451 (Florida)
Definition
Definition to come...
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