Individual
DR. STEPHEN IRWIN BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
3725 DUPONT STATION CT S, JACKSONVILLE, FL 32217-2518
(904) 448-1519
(904) 733-1340
Mailing address
3725 DUPONT STATION CT S, JACKSONVILLE, FL 32217-2518
(904) 448-1519
(904) 733-1340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3695
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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