DR. Jacy Bloom, D.C. M.S.

NPI #1407306517 in Venice, Florida

Provider Information

NPI Number: 1407306517
Entity Type: Individual
Name: DR. Jacy Bloom, D.C. M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C. M.S.
Enumeration Date: Oct 12, 2016
Last Updated: Oct 17, 2016

Practice Location

Address: 2190 TAMIAMI TRL S
City: Venice
State: Florida
ZIP Code: 34293-5040
Phone: (941) 493-2688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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