Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| 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 |
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BLOOM MEDICAL CLINIC LLC
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