Organization · Type 2 NPI

Johannes V. Blom, Md, PA

Specialist · Hollywood, FL

NPI number 1558505149 Active

Practice location

3702 Washington St, Suite 202
Hollywood, FL 33021-8282

Call (954) 964-6114 Map

Fax (954) 962-1994

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME94285 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558505149

Johannes V. Blom, Md, PA's National Provider Identifier is 1558505149, issued on Apr 27, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hollywood, FL. The record was last updated on Dec 15, 2009.