Individual
DR. DARREN ROBERT BLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7205 BONNEVAL RD, JACKSONVILLE, FL 32256-7565
(904) 696-9486
(904) 696-3422
Mailing address
3801 W GLENDALE CT, JACKSONVILLE, FL 32259-4527
(904) 287-0096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2976
FL
Other
Enumeration date
03/15/2007
Last updated
02/22/2010
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