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Organization

BLOOM PEDIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA RAINES (OWNER)
(904) 675-3076
Entity
Organization

Contact information

Practice address
542194 US HIGHWAY 1, CALLAHAN, FL 32011-8109
(904) 675-3076
Mailing address
542194 US HIGHWAY 1, CALLAHAN, FL 32011-8109

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Enumeration date
04/16/2026
Last updated
04/16/2026
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