Individual
ROBERT A BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 S HIGHWAY 77, LYNN HAVEN, FL 32444-5612
(850) 481-1687
(850) 640-0761
Mailing address
2900 S HIGHWAY 77, LYNN HAVEN, FL 32444-5612
(850) 481-1687
(850) 640-0761
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M5061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184011801
—
TX
05
—
184011802
—
TX
Enumeration date
07/11/2006
Last updated
07/21/2022
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