Organization
BLOOM HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL JERRY MARCEL (REGISTERED NURSE)
(772) 249-6802
Entity
Organization
Contact information
Practice address
1714 SW CYCLE ST, PORT SAINT LUCIE, FL 34953-1128
(772) 249-6802
Mailing address
1714 SW CYCLE ST, PORT SAINT LUCIE, FL 34953-1128
(772) 249-6802
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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