Blum, Mark
Blum, Mark is an individual health care provider with primary practice located at 1887 Kingsley Ave Ste 1900 , Orange Park FL 32073-4451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Blum, Mark can be contacted via phone (904) 276-2549.Contact Information
Primary practice address
1887 Kingsley Ave Ste 1900
Orange Park FL 32073-4451
Phone: (904) 276-2549
Fax: (904) 276-9223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME163007 | Florida |
Profile Details
| NPI number | 1710202965 |
|---|---|
| LBN Legal business name | Blum, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2010 |
| Last updated | Jan 25th, 2024 - about 10 months 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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