Individual
DR. FREDERICK L BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 BAHIA VISTA ST, STE 304, SARASOTA, FL 34239-2634
(941) 366-9711
(941) 957-0079
Mailing address
2650 BAHIA VISTA ST, STE 304, SARASOTA, FL 34239-2634
(941) 366-9711
(941) 957-0079
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
23363
FL
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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