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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