| Bloom Medical | |
|
1101 N Congress Ave Ste 100 Boynton Beach FL 33426-3336 | |
| (561) 737-9996 | |
| (561) 737-8583 |
| Full Name | Bloom Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 N Congress Ave Ste 100, Boynton Beach, Florida |
| Authorized Official Name and Position | Valentina T Gherghina (PRESIDENT) |
| Authorized Official Contact | 5617379996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Medical 1101 N Congress Ave Ste 100 Boynton Beach FL 33426-3336 Ph: (561) 737-9996 | Bloom Medical 1101 N Congress Ave Ste 100 Boynton Beach FL 33426-3336 Ph: (561) 737-9996 |
| NPI Number | 1033140314 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 5092781443 |
|---|---|
| Medicare Enrollment ID | O20071026000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033140314 | NPI | - | NPPES |
| 31487 | Other | FL | BLUE CROSS BLUE SHIELD |
| 251889900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME70942 (Florida) | Primary |
| Provider Name | Valentina T Gherghina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346271566 PECOS PAC ID: 3274629373 Enrollment ID: I20071022000134 |
| Provider Name | Daniela Adina Capota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891956 PECOS PAC ID: 5496998569 Enrollment ID: I20130821000891 |
| Provider Name | Cristina Gherghina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548713001 PECOS PAC ID: 0840565875 Enrollment ID: I20171002001151 |
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