Johannes V. Blom, Md, Pa
LBN: Johannes V. Blom, Md, Pa
Johannes V. Blom, Md, Pa is an health care organization with primary practice located at 300 Se 17Th St 2Nd Floor, Ft Lauderdale FL 33316-2550. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Johannes V. Blom, Md, Pa can be contacted via phone (954) 964-6114, or through Engels, Gabriela via phone (954) 964-6114.
Contact Information
Primary practice address
300 Se 17Th St 2Nd Floor
Ft Lauderdale FL 33316-2550
Phone: (954) 964-6114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME94285 | Florida |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | ME94285 | Florida |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME94285 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ME94285 | Florida |
Profile Details
| NPI number | 1932410008 |
|---|---|
| LBN Legal business name | Johannes V. Blom, Md, Pa |
| DBA Doing business as | |
| Authorized official | Engels, Gabriela |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Jun 23rd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932410008 | NPPES |
| Florida | MEDICAID | 275038400 | |
| Florida | Other | 1184654519 |
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