Bloom, Kimberly N
Bloom, Kimberly N is an sole proprietor health care provider with primary practice located at 12545 Orange Dr Ste 502 , Davie FL 33330-4306. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bloom, Kimberly N can be contacted via phone (954) 236-9504.Contact Information
Primary practice address
12545 Orange Dr Ste 502
Davie FL 33330-4306
Phone: (954) 236-9504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA6787 | Florida |
Profile Details
| NPI number | 1770615080 |
|---|---|
| LBN Legal business name | Bloom, Kimberly N |
| Credentials | M.S. CCC- SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1770615080 | NPPES |
| District of Columbia | MEDICAID | 8885061 |
Popular Providers
-
Lane, Jill Suzanne
5451 Davie Road , Davie FL 33314 -
Hector, Sirlon Janet
2591 Sw 71St Ter #402, Davie FL 33317-7040 -
Magram, Ronna
1671 Sw 106Th Ter , Davie FL 33324-7164 -
Carter, Tamara
6100 Griffin Rd , Davie FL 33314-4416 -
Stahura, Antonette Marie
4712 Grapvine Way , Davie FL 33331 -
Montag, Aileen
1658 Sw 109Th Ter , Davie FL 33324-7177 -
Cleveland, Michele Lynn
2822 E Orchard Cir , Davie FL 33328-6776 -
Smith-Engelin, Charity Ann
6100 Griffin Rd , Davie FL 33314-4416