Individual provider · NPI-1

Maxine Bloom, md

Anesthesiology · Hollywood, FL

NPI number1861504482
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861504482
Entity type
Individual (NPI-1)
Name
Maxine Bloom
Credential
md
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiologyme80270FLYes

Practice location

3600 Washington St
Hollywood, FL 33021-8216

Phone 954-986-6173

Mailing address

Po Box 550979
Tampa, FL 33655-0979

Phone 800-910-9207

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