Organization
BLOOM FIRM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL MARCEL RN (HEAD OF OPERATIONS)
(772) 985-0555
Entity
Organization
Contact information
Practice address
1714 SW CYCLE ST, PORT SAINT LUCIE, FL 34953
(772) 249-6802
Mailing address
1714 SW CYCLE ST, PORT SAINT LUCIE, FL 34953-1128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
09/24/2018
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