Bloomquist, Erica Victoria

Bloomquist, Erica Victoria is an sole proprietor health care provider with primary practice located at 1150 N 35Th Ave Suite 205A, Hollywood FL 33021-5424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Bloomquist, Erica Victoria can be contacted via phone (954) 265-5846.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 205A Hollywood FL 33021-5424
Phone: (954) 265-5846
Fax: (954) 985-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME119246 Florida

Profile Details

NPI number 1730151853
LBN Legal business name Bloomquist, Erica Victoria
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Jun 20th, 2024 - about last year

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 1730151853 NPPES
Florida MEDICAID 011820100
Florida Other HU529Z

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