Provider Demographics
NPI:1851398937
Name:BLUMER, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:BLUMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:720 SW 2ND AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-1216
Mailing Address - Country:US
Mailing Address - Phone:352-372-1878
Mailing Address - Fax:352-372-7562
Practice Address - Street 1:720 SW 2ND AVE
Practice Address - Street 2:STE 204
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-1216
Practice Address - Country:US
Practice Address - Phone:352-372-1878
Practice Address - Fax:352-372-7562
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 30193207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL030097OtherAVMED INSURANCE
FL50940Medicare ID - Type Unspecified
FL030097OtherAVMED INSURANCE