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Contact Information

JONATHAN A BLUM, DPM
604 OAK COMMONS BLVD
KISSIMMEE, FL34741
 Phone: 407-846-6004
 Fax: 407-846-1330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JONATHAN A BLUM · (Male)

NPI # 1407824410
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/08/2006
Last updated 01/09/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO02633
  • FL License # PO2633
Hospital affiliation(s)
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
  • OSCEOLA REGIONAL MEDICAL CENTER - (Acute Care)
    700 WEST OAK STREET
    KISSIMMEE, FL 34741
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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