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DR. JOSEPH PAUL BLOOM MD

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184661415

Individual Registrant:
DR. JOSEPH PAUL BLOOM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2400 N COURTENAY PKWY  MERRITT ISLAND, FL 32953-4127 US
Tel: 321-637-2871  Fax: 321-453-8490

Contact information for business:
2400 N COURTENAY PKWY  MERRITT ISLAND, FL 32953-4127 US
Tel: 321-637-2871  Fax: 321-453-8490

Registration Information:
NPI: 1184661415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
FLME65147
Y207LP2900XAllopathic & Osteopathic Physicians
Anesthesiology
FLME65147

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS25823FL01
375931800FL05




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