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NPI Code Detail

MEDICARE: DR. STEVE BLICBLUM M.D.

MEDICARE: DR. STEVE BLICBLUM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME39712FL

General Provider Information

NPI Number : 1447285440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE BLICBLUM M.D.
Provider Business Mailing Address
First Line : PO BOX 852
Second Line :
City : BRANDON
State : FL
Zip : 33509-0852
Country : US
Telephone Number : 813-685-5459
Fax Number : 813-681-5403
Provider Business Practice Location Address
First Line : 900 GRIFFIN RD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2442
Country : US
Telephone Number : 863-686-3344
Fax Number : 813-681-5403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVE BLICBLUM M.D.” Practice Location

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