Bloom Family Doctor, Pllc

NPI 1013273721 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013273721
Enumeration Date 04/06/2012
Last Updated 04/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEBORAH DEBORAH
Position MEDICAL DIRECTOR
Phone (813) 963-1982
Fax (813) 961-5383
Practice Location
14924 CASEY RD
TAMPA FL, 33624-2317, US
Phone (813) 963-1982
Fax (813) 961-5383
Business Location
14924 CASEY RD
TAMPA FL, 33624-2317, US
Phone (813) 963-1982
Fax (813) 961-5383
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number OS8327
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According to our database, Bloom Family Doctor, Pllc NPI is 1013273721, taxonomy code is 261QP2300X and license number is OS8327, license state is located at Florida. Bloom Family Doctor, Pllc physically located at 14924 Casey Rd, Tampa FL, 33624-2317. NPI Number 1033115704 has the healthcare provider type.

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1013273721 NPI number is provided on an as is basis without warranty of any kind. 1013273721 is maintained by the National Plan & Provider Enumeration System. The contents of Bloom Family Doctor, Pllc are for informational purposes only.