Bloom, Mark William

Bloom, Mark William is an sole proprietor health care provider with primary practice located at 4550 Nw 102Nd Pl , Doral FL 33178-2276. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bloom, Mark William can be contacted via phone (305) 599-3788.

Contact Information

Primary practice address
4550 Nw 102Nd Pl Doral FL 33178-2276
Phone: (305) 599-3788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 56011 Florida

Profile Details

NPI number 1265562524
LBN Legal business name Bloom, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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