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Contact Information

NOAH M BLUM, DPM
2316 NEBRASKA AVE
FORT PIERCE, FL34950-4824
 Phone: 772-489-4343
 Fax: 772-489-4543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NOAH M BLUM · (Male)

NPI # 1528075041
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/01/2006
Last updated 01/09/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # P02942
  • FL Medicaid 340315700
  • FL Other 65763 BC/BS
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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