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

Michael a Blum DO PA

Organization Internal Medicine Physician · NPI 1770876120

Michael a Blum DO PA is an Internal Medicine Physician in Port Saint Lucie, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2011
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

579 NW Lake Whitney Pl Ste 101
Port Saint Lucie, FL 34986-1622
Phone: (772) 249-0260
Fax: (772) 249-0137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 Se Federal Hwy Ste 330, Stuart, FL 34994-3839 — (772) 249-0260

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS7680 (FL)

Record details

NPI number1770876120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blum — President And Ceo · (772) 249-0260
NPI enumeratedMay 18, 2011
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address579 Nw Lake Whitney Place, Suite 101, Port Saint Lucie, FL 34986-1622

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