Organization
BLOOM THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCOTT BLOOM (OWNER)
(239) 273-2195
Entity
Organization
Contact information
Practice address
21740 S TAMIAMI TRL STE 109, ESTERO, FL 33928-2819
(239) 273-2195
Mailing address
21740 S TAMIAMI TRL STE 109, ESTERO, FL 33928-2819
(239) 273-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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