| Jacob Blum, MD | |
|
1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | |
| (904) 261-0922 | |
| (904) 277-8872 |
| Full Name | Jacob Blum |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1888 S 14th St, Fernandina Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720047137 | NPI | - | NPPES |
| P01374253 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28306 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | ME60766 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Blum, MD Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | Jacob Blum, MD 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 Ph: (904) 261-0922 |
Diana R Twiggs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034 Phone: 904-261-0922 Fax: 904-277-8872 | |
Kyle A Rezac, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1888 S 14th St, Fernandina Beach, FL 32034 Phone: 904-261-0922 Fax: 904-277-8872 | |
Dr. Edward Dominick Tribuzio, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034 Phone: 904-432-3061 Fax: 904-432-3062 | |
Kedra Fields Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22439 Flora Parke Xing, Fernandina Beach, FL 32034 Phone: 904-648-8081 Fax: 904-648-8082 | |
Dr. Nicole Marie Soos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 100, Fernandina Beach, FL 32034 Phone: 904-261-0922 Fax: 904-390-7477 | |
David P Page, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 S 14th St, Fernandina Beach, FL 32034 Phone: 904-491-3688 Fax: 904-261-6680 |