Blum Guzman, Juan Pablo
Blum Guzman, Juan Pablo is an individual health care provider with primary practice located at 3635 Clyde Morris Blvd Suite 100, Port Orange FL 32129-2300. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Blum Guzman, Juan Pablo can be contacted via phone (386) 788-1242.Contact Information
Primary practice address
3635 Clyde Morris Blvd Suite 100
Port Orange FL 32129-2300
Phone: (386) 788-1242
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN14213 | Florida |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME116607 | Florida |
Profile Details
NPI number | 1104056860 |
---|---|
LBN Legal business name | Blum Guzman, Juan Pablo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2009 |
Last updated | Mar 23rd, 2016 - about 8 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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