Johannes Victor Blom in Hollywood - Adult Reconstructive Orthopaedic Surgery
Johannes Victor Blom - NPI 1184654519
Johannes Victor Blom is a Adult Reconstructive Orthopaedic Surgery in Hollywood, Florida. Johannes Victor Blom practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Johannes Victor Blom is 1184654519. The last update date is 2012-05-23.
Johannes Victor Blom's current location address is 3702 Washington St, Hollywood, Florida. You can contact this provider via phone number 9549646114. The mailing address for Johannes Victor Blom is 3702 Washington St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johannes Victor Blom |
|---|---|
| Address | 3702 Washington St, Hollywood, Florida |
| Phone Number | 9549646114 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184654519 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 3702 Washington St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330218282 |
| Phone Number | 9549646114 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | ME94285 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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What is the Johannes Victor Blom's unique identification number?
The Johannes Victor Blom has been assigned the NPI (National Provider Identifier) Number 1184654519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Johannes Victor Blom's physical address?
The Johannes Victor Blom is physically located at 3702 Washington St, in the city of Hollywood, FL, with the postal code 330218282.
What is Johannes Victor Blom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Johannes Victor Blom is Adult Reconstructive Orthopaedic Surgery, and the taxonomy code that categorizes this field of expertise is 207Xs0114X.
On what date did the Johannes Victor Blom receive the assignment of its 1184654519 from the Centers for Medicare & Medicaid Services?
The Johannes Victor Blom was issued its 1184654519 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the information related to Johannes Victor Blom most recently updated or refreshed?
The details pertaining to the Johannes Victor Blom, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-05-23.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL