Bloom, Joseph Paul
Bloom, Joseph Paul is an individual health care provider with primary practice located at 2400 N Courtenay Pkwy , Merritt Island FL 32953-4127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Bloom, Joseph Paul can be contacted via phone (321) 637-2871.Contact Information
Primary practice address
2400 N Courtenay Pkwy
Merritt Island FL 32953-4127
Phone: (321) 637-2871
Fax: (321) 453-8490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME65147 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME65147 | Florida |
Profile Details
| NPI number | 1184661415 |
|---|---|
| LBN Legal business name | Bloom, Joseph Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 17th, 2015 - about 9 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 | 1184661415 | NPPES |
| Florida | Other | 25823 | BCBS |
| Florida | MEDICAID | 375931800 | BCBS |
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