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Johannes V. Blom, Md, Pa
Specialist in Hollywood, Florida
NPI 1558505149

Johannes V. Blom, Md, Pa is a Specialist based in Hollywood, FL. Johannes V. Blom, Md, Pa practices in Hollywood, FL. The NPI Number for Johannes V. Blom, Md, Pa is 1558505149 and holds a License No. ME94285 (Florida).

The current practice location address for Johannes V. Blom, Md, Pa is 3702 Washington St, Hollywood, FL and can be reached out via phone at 954-964-6114 and via fax at 954-962-1994.

Location: 3702 Washington St, Hollywood, FL, 33021-8282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558505149
Provider Name
Johannes V. Blom, Md, Pa
Credential
Provider Entity Type
Organization
Address
3702 Washington St, Hollywood, FL, 33021-8282
Phone Number
954-964-6114
Fax Number
954-962-1994
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184654519 01 FL PROVIDER NPI
275038400 05 FL
institution
Provider Business Practice Location Address Details
Address
3702 Washington St
City
Hollywood
State
Florida
Zip
33021-8282
Phone Number
954-964-6114
Fax Number
954-962-1994
person
Provider Business Mailing Address Details
Address
3702 Washington St
City
Hollywood
State
Florida
Zip
33021-8282
Phone Number
954-964-6114
Fax Number
954-962-1994
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME94285 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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