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Provider record

Joshua Leon Blimbaum DMD

Joshua Leon Blimbaum DMD appears in the CMS NPPES public file with a Dentist taxonomy and an individual provider record in Jacksonville, FL. This page keeps the listing to source-reported address, phone, taxonomy, NPI, and caveat fields.

NPI1912379926
Entity typeIndividual
Reported phone(904) 880-3131
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJuly 15, 2026

CMS NPPES

NPPES statusActive

Reported to NPPES

Directory statusIndependent

No affiliation or endorsement implied

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1912379926
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
12058 San Jose Blvd Ste 102
Jacksonville, FL 32223-8669
Phone
(904) 880-3131

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Directions

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Source-listed transit stops

Approximate straight-line distance from the approved practice geocode to static GTFS stop records. Confirm current service with the transit agency.

GTFS source
San Jose Blvd + Orange Picker RdJacksonville Transportation Authority
Distance
0.1 mi away
Source checked
June 8, 2026

JTA GTFS Archive

11940 San Jose BlvdJacksonville Transportation Authority
Distance
0.1 mi away
Source checked
June 8, 2026

JTA GTFS Archive

11925 San Jose BlvdJacksonville Transportation Authority
Distance
0.2 mi away
Source checked
June 8, 2026

JTA GTFS Archive

Nearest transit context is based on source-listed static GTFS stops and approximate straight-line distance from an approved provider geocode. It is not live service, route planning, schedule, fare, accessibility, parking, directions, convenience, quality, endorsement, or appointment information.

Additional practice locations

NPPES reports 1 additional practice location for this NPI. This page shows up to five source-reported rows and does not map or verify these locations.

NPPES reported
The Carlson Group, 13241 Bartram Park Blvd #1700Jacksonville, FL 32258
Phone
(904) 262-8409
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

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Nearby dentists

Approximate straight-line distance from this practice location.

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
122300000X
Specialty
Dentist
Source
CMS NPPES
Last updated
May 26, 2026

Additional NPPES taxonomy rows

Other taxonomy entries reported to NPPES for this NPI.

1223G0001X
General Practice Dentistry
General Practice

Record actions

Contact and sources

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