Organization
JOHANNES V. BLOM, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA ENGELS (ADMINISTRATOR)
(954) 964-6114
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD, SUITE 101, PEMBROKE PINES, FL 33028-1015
(954) 964-6114
(954) 962-1994
Mailing address
3702 WASHINGTON ST, SUITE 202, HOLLYWOOD, FL 33021-8282
(954) 964-6114
(954) 962-1994
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME94285
FL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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