Organization
PAIN MANAGEMENT OF BREVARD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BLOOM MD (PRESIDENT OF PMB)
(321) 735-6220
Entity
Organization
Contact information
Practice address
450 E MERRITT ISLAND CSWY STE 200, MERRITT ISLAND, FL 32952-3503
(321) 735-6220
Mailing address
PO BOX 948075, MAITLAND, FL 32794-8075
(321) 735-6220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259812400
—
FL
01
—
45472
BCBS
FL
Enumeration date
05/24/2006
Last updated
11/10/2025
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