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1285773457
CHARLES STEPHEN BLOOM
WINTER PARK, FL
NPI
1285773457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL 40849)
Enumeration Date
2007-02-05
Last Update Date
2013-10-02
Business Address
-- CHARLES STEPHEN BLOOM M.D.
1371 HARMON AVE
WINTER PARK, FL 32789-5512
Phone number: 321-794-4747
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Mailing Address
-- CHARLES STEPHEN BLOOM M.D.
1371 HARMON AVE
WINTER PARK, FL 32789-5512
Phone number: 321-794-4747
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