JOHANNES V. BLOM, MD, PA

FT LAUDERDALE, FL
NPI1932410008
Entity TypeOrganization
Authorized ContactGABRIELA ENGELS
Administrator
954-964-6114
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: FL  ME94285)
Additional Taxonomies207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: FL  ME94285)
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: FL  ME94285)
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: FL  ME94285)
Enumeration Date2010-06-23
Last Update Date2010-06-23
Business Address
JOHANNES V. BLOM, MD, PA
300 SE 17TH ST 2ND FLOOR
FT LAUDERDALE, FL 33316-2550
Phone number: 954-964-6114
Mailing Address
JOHANNES V. BLOM, MD, PA
300 SE 17TH ST 2ND FLOOR
FT LAUDERDALE, FL 33316-2550
Phone number: 954-964-6114