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Organization

BLOOM HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAOMI MOSTKOFF APRN (PROVIDER, SOLE PROPRIETOR)
(352) 580-6573
Entity
Organization

Contact information

Practice address
5310 NW 8TH AVE STE 1, GAINESVILLE, FL 32605-4468
(352) 580-6573
Mailing address
4215 NW 32ND ST, GAINESVILLE, FL 32605-1412
(786) 514-9793

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
10/31/2024
Last updated
10/31/2024
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