Organization
BLOOMINGDALE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVID WARTMAN M.D. (PRESIDENT)
(813) 654-1775
Entity
Organization
Contact information
Practice address
13403 BOYETTE RD, RIVERVIEW, FL 33569-8742
(813) 654-1775
(813) 651-9082
Mailing address
13403 BOYETTE RD, RIVERVIEW, FL 33569-8742
(813) 654-1775
(813) 651-9082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
127604
FL
Other
Enumeration date
07/18/2005
Last updated
12/12/2007
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