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Individual
STACI BLOOM
Active
Individual
STACI BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11016359
FL
363LF0000X
Family Nurse Practitioner
Primary
F06212550
FL
363LX0106X
Occupational Health Nurse Practitioner
APRN11016359
FL
Other
Enumeration date
04/05/2021
Last updated
07/23/2026
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