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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770615080 NPPES
District of Columbia MEDICAID 8885061

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