MEDICARE: PIERRE R BLEMUR MD

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
1	208D00000X	General Practice Physician	ME0045180	FL

General Provider Information

NPI Number	:	1730177098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIERRE R BLEMUR MD

Provider Business Mailing Address
First Line	:	486 FISHERMAN ST
Second Line	:
City	:	OPA LOCKA
State	:	FL
Zip	:	33054-3818
Country	:	US
Telephone Number	:	305-688-5456
Fax Number	:	305-688-1661

Provider Business Practice Location Address
First Line	:	486 FISHERMAN ST
Second Line	:
City	:	OPA LOCKA
State	:	FL
Zip	:	33054-3818
Country	:	US
Telephone Number	:	306-688-5456
Fax Number	:	305-688-1661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	11/30/2023

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