Individual
CYNTHIA R. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239
(941) 917-1668
(941) 917-4273
Mailing address
2700 UNIVERSITY SQUARE DR, TAMPA, FL 33612-5513
(813) 253-2721
(813) 253-2299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME73265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252222500
—
FL
01
—
41300
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
03/22/2006
Last updated
06/26/2018
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