Individual
LOUIS CHARLES BLAUM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7323
(386) 267-6224
(386) 703-2304
Mailing address
1648 TAYLOR RD # 606, PORT ORANGE, FL 32128-6753
(813) 313-8013
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
ME91320
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME91320
FL
Other
Enumeration date
05/12/2006
Last updated
03/01/2020
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