Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johannes V Blom, MD, PA

Organization Specialist · NPI 1558505149

Johannes V Blom, MD, PA is a Specialist in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3702 Washington St Ste 202
Hollywood, FL 33021-8282
Phone: (954) 964-6114
Fax: (954) 962-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME94285 (FL)

Record details

NPI number1558505149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johannes Blom — President · (954) 964-6114
NPI enumeratedApril 27, 2009
Last updated in NPPESDecember 15, 2009
Mailing address3702 Washington St, Suite 202, Hollywood, FL 33021-8282

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