Blom, Melinda Marie

Blom, Melinda Marie is an individual health care provider with primary practice located at 12953 Palms West Dr Suite 201, Loxahatchee FL 33470-4990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blom, Melinda Marie can be contacted via phone (561) 795-5130.

Contact Information

Primary practice address
12953 Palms West Dr Suite 201 Loxahatchee FL 33470-4990
Phone: (561) 795-5130
Fax: (561) 795-4160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104374 Florida

Profile Details

NPI number 1255529442
LBN Legal business name Blom, Melinda Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Feb 1st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255529442 NPPES
Florida Other 230482 AMERIGROUP

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