Organization
BLOOM MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROON NAWAZ (OWNER / MANAGER)
(407) 734-3644
Entity
Organization
Contact information
Practice address
7932 W SAND LAKE RD STE 106, ORLANDO, FL 32819-7299
(407) 465-1995
Mailing address
7932 W SAND LAKE RD STE 106, ORLANDO, FL 32819-7299
(407) 465-1995
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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