Organization
CALVIN BLOUNT JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN L BLOUNT JR. MD (CEO)
(850) 837-4844
Entity
Organization
Contact information
Practice address
12607 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-6825
(850) 837-4844
(850) 837-6625
Mailing address
PO BOX 6354, MIRAMAR BEACH, FL 32550-1003
(850) 837-4844
(850) 837-6625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080146219
MDC RR
—
05
—
255279500
—
FL
01
—
44250
BCBS
—
Enumeration date
09/14/2005
Last updated
03/07/2023
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