Organization
BLOOM BLUE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEONOR CASTILLO MARTINEZ (MGR)
(786) 533-0299
Entity
Organization
Contact information
Practice address
7921 SW 40TH ST STE 40, MIAMI, FL 33155-6747
(786) 533-0299
(786) 821-0248
Mailing address
7921 SW 40TH ST STE 40, MIAMI, FL 33155-6747
(786) 533-0299
(786) 821-0248
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
04/21/2026
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