Individual
LINDSAY BLAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
780 DUNLAWTON AVE, PORT ORANGE, FL 32127-4252
(386) 265-5926
(386) 265-5928
Mailing address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2321
(386) 258-8659
(386) 265-5928
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9376207
FL
Other
Enumeration date
12/13/2016
Last updated
03/27/2020
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