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Contact Information

BLOOM MEDICAL CLINIC LLC
7932 W SAND LAKE RD STE 106
ORLANDO, FL32819-7299
 Phone: 407-465-1995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BLOOM MEDICAL CLINIC LLC

NPI Number 1386590800
LBN Legal business name BLOOM MEDICAL CLINIC LLC
Authorized official HAROON NAWAZ - (OWNER / MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2026
Last updated 03/06/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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