Individual provider · NPI-1
Dr. Adam Lance Blomberg, M.D.
Anesthesiology · Hollywood, FL
NPI number1265507040
StatusActive
Last updated in NPPESFeb 9, 2023
Details
- NPI
- 1265507040
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Lance Blomberg
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2006
- Certification date
- Feb 9, 2023
- Last updated
- Feb 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | ME102123 | FL | Yes |
Practice location
3501 Johnson StHollywood, FL 33021-5421
Phone 954-265-5423
Mailing address
3501 Johnson StHollywood, FL 33021-5421
Phone 305-321-5757
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