Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHANNES VICTOR BLOM, M.D.
ActiveJOHANNES VICTOR BLOM, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in HOLLYWOOD, Florida. NPI 1184654519 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · HOLLYWOOD, FL
Registration Details
- NPI Number
- 1184654519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.161853377108 yrs)
- Last Updated
- May 23, 2012
- License
-
ME94285 (FL)
Practice Information
- Address
-
3702 WASHINGTON STSUITE 202HOLLYWOOD, FL, 330218282Browse FL providers · Browse ZIP 33021
- Phone
- 9549646114
- Fax
- 9549621994
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.