Kornblum, David Samuel

Kornblum, David Samuel is an sole proprietor health care provider with primary practice located at 300 Pinellas St # Ms 47 , Clearwater FL 33756-3804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kornblum, David Samuel can be contacted via phone (727) 462-7907.

Contact Information

Primary practice address
300 Pinellas St # Ms 47 Clearwater FL 33756-3804
Phone: (727) 462-7907
Fax: (727) 462-7904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LP03958 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME145179 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME145179 Florida

Profile Details

NPI number 1144759424
LBN Legal business name Kornblum, David Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2017
Last updated Jan 24th, 2024 - about 2 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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