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Contact Information

JOHANNES V BLOM, MD
3702 WASHINGTON ST
SUITE 202
HOLLYWOOD, FL33021-8282
 Phone: 954-964-6114
 Fax: 954-962-1994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHANNES V BLOM · (Male)

NPI Number 1184654519
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 05/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME94285
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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