Organization
BLOOM FAMILY DOCTOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH TANUS D.O. (MEDICAL DIRECTOR)
(813) 963-1982
Entity
Organization
Contact information
Practice address
14924 CASEY RD, TAMPA, FL 33624-2317
(813) 963-1982
(813) 961-5383
Mailing address
14924 CASEY RD, TAMPA, FL 33624-2317
(813) 963-1982
(813) 961-5383
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS8327
FL
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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