Individual
DR. LOUIS C BLUMENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751
(407) 767-6411
(407) 767-8160
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME069139
FL
207WX0109X
Neuro-ophthalmology Physician
ME069139
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
ME069139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250233000
—
FL
Enumeration date
06/03/2006
Last updated
09/01/2020
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