Individual provider · Type 1 NPI

Genevieve Kornblum, PA-C

Surgical Physician Assistant · Boynton Beach, FL

NPI number 1407322308 Active

Practice location

2800 S Seacrest Blvd Ste 200
Boynton Beach, FL 33435-7966

Call (561) 736-8200 Map

Fax (561) 736-4635

Mailing address

1001 NW 13th St Ste 201
Boca Raton, FL 33486-2269

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X9111722 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1407322308

Genevieve Kornblum, PA-C's National Provider Identifier is 1407322308, issued on Oct 17, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boynton Beach, FL. The record was last updated on Mar 23, 2022.