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NPI Code Detail

MEDICARE: MRS. BARBARA DESAMOURS BLOT LM CPM

MEDICARE: MRS. BARBARA DESAMOURS BLOT LM CPM
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
1176B00000XMidwifeMW158FL
2163W00000XRegistered Nurse9327259FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659582716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA DESAMOURS BLOT LM CPM
Provider Business Mailing Address
First Line : 16600 NE 8TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3618
Country : US
Telephone Number : 786-399-7080
Fax Number : 866-296-1719
Provider Business Practice Location Address
First Line : 16600 NE 8TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3618
Country : US
Telephone Number : 786-399-7080
Fax Number : 866-296-1719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 04/25/2017

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