Organization
LCB PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS CHARLES BLAUM III MD (OWNER)
(813) 313-8013
Entity
Organization
Contact information
Practice address
410 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7323
(386) 267-6224
(386) 703-2304
Mailing address
1648 TAYLOR RD # 606, PORT ORANGE, FL 32128-6753
(813) 313-8013
(386) 703-2304
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
03/01/2020
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