Individual
ERICA VICTORIA BLOOMQUIST
Active
Individual
ERICA VICTORIA BLOOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
ME119246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011820100
—
FL
01
—
HU529Z
MEDICARE PTAN
FL
Enumeration date
02/02/2006
Last updated
06/20/2024
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