Individual
DAVID A BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
6600 66TH ST N, PINELLAS PARK, FL 33781-5040
(727) 343-0600
(727) 344-6163
Mailing address
6600 66TH N ST, PINELLAS PARK, FL 33781-5040
(727) 343-0600
(727) 344-6163
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
122889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015450300
—
FL
Enumeration date
05/28/2010
Last updated
06/24/2020
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