Individual
DR. ANDREW R BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
(317) 705-5047
Mailing address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
234964
MA
2085R0202X
Diagnostic Radiology Physician
MD428578
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME135951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100042500
—
FL
Enumeration date
06/12/2008
Last updated
04/23/2024
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