Blum, Michael A

Blum, Michael A is an individual health care provider with primary practice located at 579 Nw Lake Whitney Place Suite 101, Port Saint Lucie FL 34986-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blum, Michael A can be contacted via phone (772) 249-0260.

Contact Information

Primary practice address
579 Nw Lake Whitney Place Suite 101 Port Saint Lucie FL 34986-1622
Phone: (772) 249-0260
Fax: (772) 249-0137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS0007680 Florida

Profile Details

NPI number 1922082965
LBN Legal business name Blum, Michael A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Mar 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922082965 NPPES
Florida MEDICAID 261284400

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