| Bloom Family Doctor, Pllc | |
|
14924 Casey Rd Tampa FL 33624-2317 | |
| (813) 963-1982 | |
| (813) 961-5383 |
| Full Name | Bloom Family Doctor, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14924 Casey Rd, Tampa, Florida |
| Authorized Official Name and Position | Deborah Tanus (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8139631982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Family Doctor, Pllc 14924 Casey Rd Tampa FL 33624-2317 Ph: (813) 963-1982 | Bloom Family Doctor, Pllc 14924 Casey Rd Tampa FL 33624-2317 Ph: (813) 963-1982 |
| NPI Number | 1013273721 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013273721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS8327 (Florida) | Primary |
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