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Search › Florida › 207Q00000X

Jacob Blum, MD

NPI 1720047137 · on the registry since 2006

Practice

Address
1888 S 14th St
Credentialing Department
Fernandina Beach, FL 32034
Phone
(904) 261-0922
Fax
(904) 277-8872
Organisation at this address
Diana R Twiggs Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
KY, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida