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 Orthopaedic Surgery Physician · NPI 1932410008

Johannes V Blom, MD, PA is an Orthopaedic Surgery Physician in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
4
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

300 SE 17th St 2nd Fl
Ft Lauderdale, FL 33316-2550
Phone: (954) 964-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME94285 (FL)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence ME94285 (FL)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence ME94285 (FL)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence ME94285 (FL)

Record details

NPI number1932410008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriela Engels — Administrator · (954) 964-6114
NPI enumeratedJune 23, 2010
Last updated in NPPESJune 23, 2010
Mailing address300 Se 17th St, 2nd Floor, Ft Lauderdale, FL 33316-2550

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