Organization
NOAH M BLUM DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH M BLUM DPM (OWNER PHYSICIAN)
(772) 489-4343
Entity
Organization
Contact information
Practice address
2316 NEBRASKA AVE, FORT PIERCE, FL 34950-4824
(772) 489-4343
(772) 489-4543
Mailing address
2316 NEBRASKA AVE, FORT PIERCE, FL 34950-4824
(772) 489-4343
(772) 489-4543
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P02942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340315700
—
FL
Enumeration date
05/03/2007
Last updated
03/09/2023
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