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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN A BLUM, DPM

Active Sole Proprietor

JONATHAN A BLUM, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in KISSIMMEE, Florida. NPI 1407824410 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · KISSIMMEE, FL

Registration Details

NPI Number
1407824410
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2006 (20.421803677436 yrs)
Last Updated
Jan 9, 2023
Licenses
PO2633 (FL)
PO02633 (FL)
Sole Proprietor
Yes

Practice Information

Address
604 OAK COMMONS BLVD
KISSIMMEE, FL, 34741
Browse FL providers · Browse ZIP 34741
Phone
4078466004
Fax
4078461330
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in KISSIMMEE, FL

Name Credential NPI
DR. KEVIN ZASADA D.P.M 1932499431
DR. MARILYN CELESTE TORIBIO DPM 1356092621
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.