Organization
BLOOM FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA HABIB BOVELSKY MD (OWNER/PHYSICIAN)
(302) 650-7961
Entity
Organization
Contact information
Practice address
7341 OFFICE PARK PL STE 202B, MELBOURNE, FL 32940-8280
(302) 344-1270
Mailing address
3288 CAPPIO DR, MELBOURNE, FL 32940-1310
(302) 650-7961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
08/19/2022
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