Organization
BLOOM DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE MARGARET MCDONOUGH (MANAGER)
(727) 698-6564
Entity
Organization
Contact information
Practice address
5185 DUNDEE AVE, DE LEON SPRINGS, FL 32130-3457
(727) 698-6564
Mailing address
5185 DUNDEE AVE, DE LEON SPRINGS, FL 32130-3457
(727) 698-6564
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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