Individual
MR. CHRISTOPHER BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
4720 NW 25TH AVE, MIAMI, FL 33142-4650
(305) 370-5411
Mailing address
4720 NW 25TH AVE, MIAMI, FL 33142-4650
(305) 370-5411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5213377
FL
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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