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1265562524
MARK WILLIAM BLOOM
DORAL, FL
NPI
1265562524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL 56011)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. MARK WILLIAM BLOOM M.D.
4550 NW 102ND PL
DORAL, FL 33178-2276
Phone number: 305-599-3788
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Mailing Address
Dr. MARK WILLIAM BLOOM M.D.
4550 NW 102ND PL
DORAL, FL 33178-2276
Phone number: 305-599-3788
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