Individual
DR. CALVIN L BLOUNT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12607 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-6825
(850) 837-4844
(850) 837-6625
Mailing address
4012 COMMONS DR W, STE 120, DESTIN, FL 32541-8424
(850) 837-4844
(850) 837-6625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080146219
MDC RAILROAD
FL
05
—
255279500
—
FL
01
—
44250
BLUE CROSS BLUE SHIELD
FL
01
—
5903676
AETNA INSURANCE
FL
01
—
593553504
CHAMPUS
FL
01
—
ME76428
STATE LICENSE
FL
Enumeration date
11/20/2005
Last updated
03/07/2023
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