Bloom, Marc B

Bloom, Marc B is an individual health care provider with primary practice located at 3000 E Fletcher Ave Suite 320, Tampa FL 33613-4656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bloom, Marc B can be contacted via phone (813) 910-0027.

Contact Information

Primary practice address
3000 E Fletcher Ave Suite 320 Tampa FL 33613-4656
Phone: (813) 910-0027
Fax: (813) 971-1286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME41170 Florida

Profile Details

NPI number 1053337394
LBN Legal business name Bloom, Marc B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
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 1053337394 NPPES
Florida MEDICAID 048065700

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