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Contact Information

JOHN D BLOOM JR, MD
5301 N DIXIE HWY
STE 202
OAKLAND PARK, FL33334-3403
 Phone: 954-771-9920
 Fax: 954-771-9922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHN D BLOOM JR · (Male)

NPI Number 1780656371
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2006
Last updated 02/11/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 49964
  • FL Medicaid 064310600
Hospital affiliation(s)
  • BROWARD HEALTH IMPERIAL POINT - (Acute Care)
    6401 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
  • HOLY CROSS HOSPITAL INC - (Acute Care)
    4725 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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