Evan Bloom, DO | |
701 W Plymouth Ave, Deland, FL 32720-3236 | |
(407) 667-0444 | |
(407) 667-4338 |
Full Name | Evan Bloom |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 701 W Plymouth Ave, Deland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457397564 | NPI | - | NPPES |
71698 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS8787 (Florida) | Primary |
Entity Name | Us Anesthesia Partners Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Mailing Address | Practice Location Address |
---|---|
Evan Bloom, DO 291 Southhall Ln, Suite 201, Maitland, FL 32751-7274 Ph: (407) 667-0444 | Evan Bloom, DO 701 W Plymouth Ave, Deland, FL 32720-3236 Ph: (407) 667-0444 |
Dr. Glenn Steven Avidon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Po Box 47, Deland, FL 32721 Phone: 407-468-4301 Fax: 407-264-8168 | |
Mark F Marino, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Graham Borysko, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-4522 | |
Phuong-truc Le, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Edmundo D Delgado, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Deepak R Sarkar, M.D., Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 45801 Central Camp Rd, Deland, FL 32720 Phone: 361-658-7721 |