Organization
NORMAN A BLOOM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN BLOOM MD (OWNER)
(305) 931-6663
Entity
Organization
Contact information
Practice address
1 SW 129TH AVE, SUITE 109, PEMBROKE PINES, FL 33027-1761
(305) 825-8669
Mailing address
1 SW 129TH AVE, SUITE 109, PEMBROKE PINES, FL 33027-1761
(305) 825-8669
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME14272
FL
Other
Enumeration date
06/20/2007
Last updated
06/22/2010
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