Melvin Bloom M.D.

NPI 1083608558 - Internal Medicine - 207R00000X

NPI Details
NPI 1083608558
Gender Male
Enumeration Date 09/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2350 SCENIC DR
SENIOR FRIENDSHIP CENTERS, INC.
VENICE FL, 34293-1510, US
Phone (941) 584-0043
Fax (941) 496-8627
Business Location
2350 SCENIC DR
SENIOR FRIENDSHIP CENTERS, INC.
VENICE FL, 34293-1510, US
Phone (941) 584-0043
Fax (941) 496-8627
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number LL580
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According to our database, Dr. Melvin Bloom M.D. NPI is 1083608558, taxonomy code is 207R00000X and license number is LL580, license state is located at Florida. Melvin Bloom M.D. physically located at 2350 Scenic Dr, Venice FL, 34293-1510. NPI Number Melvin Bloom M.D. has the Individual type.

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1083608558 NPI number is provided on an as is basis without warranty of any kind. 1083608558 is maintained by the National Plan & Provider Enumeration System. The contents of Melvin Bloom M.D. are for informational purposes only.