| Blum-nico Oral Facial Surgery Associates, Pllc | |
|
4308 Alton Rd Ste 850 Miami Beach FL 33140-4558 | |
| (305) 538-4556 | |
| (305) 538-2019 |
| Full Name | Blum-nico Oral Facial Surgery Associates, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4308 Alton Rd Ste 850, Miami Beach, Florida |
| Authorized Official Name and Position | Jeffery D. Blum (OWNER) |
| Authorized Official Contact | 3055384556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blum-nico Oral Facial Surgery Associates, Pllc 4308 Alton Rd Ste 850 Miami Beach FL 33140-4558 Ph: (305) 538-4556 | Blum-nico Oral Facial Surgery Associates, Pllc 4308 Alton Rd Ste 850 Miami Beach FL 33140-4558 Ph: (305) 538-4556 |
| NPI Number | 1467737684 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467737684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | L11000065863 (Florida) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | L11000065863 (Florida) | Primary |
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