| Barry M. Blumenthal | |
|
1250 E Hallandale Beach Blvd Suite 1005 Hallandale Beach FL 33009-4634 | |
| (954) 416-2021 | |
| Not Available |
| Full Name | Barry M. Blumenthal |
|---|---|
| Speciality | Family Medicine |
| Location | 1250 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Barry M Blumenthal (ADMINISTRATOR) |
| Authorized Official Contact | 9544162021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry M. Blumenthal 1250 E Hallandale Beach Blvd Suite 1005 Hallandale Beach FL 33009-4634 Ph: (954) 416-2021 | Barry M. Blumenthal 1250 E Hallandale Beach Blvd Suite 1005 Hallandale Beach FL 33009-4634 Ph: (954) 416-2021 |
| NPI Number | 1053719419 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 12/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053719419 | NPI | - | NPPES |
| 370348700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6342 (Florida) | Primary |
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