Bloom, David A
Bloom, David A is an sole proprietor health care provider with primary practice located at 6600 66Th St N , Pinellas Park FL 33781-5040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bloom, David A can be contacted via phone (727) 343-0600.Contact Information
Primary practice address
6600 66Th St N
Pinellas Park FL 33781-5040
Phone: (727) 343-0600
Fax: (727) 344-6163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 122889 | Florida |
Profile Details
| NPI number | 1336468461 |
|---|---|
| LBN Legal business name | Bloom, David A |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2010 |
| Last updated | Jun 24th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336468461 | NPPES |
| Florida | MEDICAID | 015450300 |
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