Individual
BENJAMIN J LINDBLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 HOSPITAL DR STE 110, PALM COAST, FL 32164-2453
(386) 586-1910
(386) 586-1912
Mailing address
21 HOSPITAL DR STE 110, PALM COAST, FL 32164-2453
(386) 586-1910
(386) 586-1912
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME132052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020771900
—
FL
01
—
JA322Z
MEDICARE
FL
01
—
XJZ3J
BCBS
FL
Enumeration date
04/18/2011
Last updated
02/09/2021
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