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Individual

ROBERT STEVEN BLOOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 292-4647
Mailing address
PO BOX 4707, PLANT CITY, FL 33563-0030
(863) 293-1121
(863) 292-4647

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS10772
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009939919
AL
01
51001927
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/04/2006
Last updated
08/17/2012
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