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

Dr. Mark Blum, MD

Individual provider Surgical Critical Care Physician · NPI 1710202965

Dr. Mark Blum, MD is a General Surgery in Orange Park, Florida. Qualified in 2010, 16 years ago. Practices with Florida Trauma Services LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451
Phone: (904) 276-2549
Fax: (904) 276-9223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence ME163007 (FL)

Record details

NPI number1710202965
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2010
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Florida Trauma Services Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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