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Individual

DR. ASHER BENNETT BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 767-8480
Mailing address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 767-8480

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME151433
FL
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111306900
FL
Enumeration date
05/02/2014
Last updated
08/20/2024
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