DR. Mark William Bloom, M.D.

NPI #1265562524 in Doral, Florida

Provider Information

NPI Number: 1265562524
Entity Type: Individual
Name: DR. Mark William Bloom, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Mar 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4550 NW 102ND PL
City: Doral
State: Florida
ZIP Code: 33178-2276
Phone: (305) 599-3788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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