Individual
JONATHAN A BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
604 OAK COMMONS BLVD, KISSIMMEE, FL 34741
(407) 846-6004
(407) 846-1330
Mailing address
604 OAK COMMONS BLVD, KISSIMMEE, FL 34741
(407) 846-6004
(407) 846-1330
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO2633
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO02633
FL
Other
Enumeration date
03/08/2006
Last updated
01/09/2023
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