Individual
JEFFREY D BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 W SAMPLE RD STE 106, DEERFIELD BEACH, FL 33064-3547
(954) 320-2885
(954) 783-9117
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 320-2885
(954) 783-9117
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME64599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373641500
—
FL
Enumeration date
10/14/2005
Last updated
04/03/2024
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