Individual provider · NPI-1

Dr. Asher Bennett Blum, M.D.

Pediatrics, Pediatric Emergency Medicine · St Petersburg, FL

NPI number1639589484
StatusActive
Last updated in NPPESAug 20, 2024

Details

NPI
1639589484
Entity type
Individual (NPI-1)
Name
Dr. Asher Bennett Blum
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2014
Certification date
Aug 20, 2024
Last updated
Aug 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency MedicineME151433FLYes
390200000X Student in an Organized Health Care Education/Training Program–NY

Practice location

501 6th St S
St Petersburg, FL 33701-4630

Phone 727-767-8480

Mailing address

501 6th St S
St Petersburg, FL 33701-4630

Phone 727-767-8480

Other practice locations

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Phone 239-343-6260 · Fax 239-343-6259

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