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Contact Information

BLM FIRST ASSISTANT
704 TROWBRIDGE AVE
FORT WALTON BEACH, FL32547-3136
 Phone: 850-217-2890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for BLM FIRST ASSISTANT · (Female)

NPI # 1639488653
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2010
Last updated 09/26/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 769982
Hospital affiliation(s) Not Available
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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