Individual
SCOTT WILLIAM BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 N ORANGE AVE STE 400, ORLANDO, FL 32804-5505
(407) 303-7399
(407) 303-7305
Mailing address
2415 N ORANGE AVE STE 400, ORLANDO, FL 32804-5505
(407) 303-7399
(407) 303-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
257157
NY
208600000X
Surgery Physician
Primary
ME125267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03233465
—
NY
Enumeration date
05/28/2010
Last updated
12/03/2015
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