Individual
ALLISON BLOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 SE HILLMOOR DR, SUITE C-109, PORT ST LUCIE, FL 34952-7553
(772) 777-3344
(772) 905-4429
Mailing address
1801 SE HILLMOOR DR, SUITE C-109, PORT ST LUCIE, FL 34952-7553
(772) 777-3344
(772) 905-4429
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0066925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376286600
—
FL
Enumeration date
07/02/2006
Last updated
04/03/2017
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