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1861504482
MAXINE BLOOM
HOLLYWOOD, FL
NPI
1861504482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: FL me80270)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- MAXINE BLOOM md
3600 WASHINGTON ST
HOLLYWOOD, FL 33021-8216
Phone number: 954-986-6173
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Mailing Address
-- MAXINE BLOOM md
PO BOX 550979
TAMPA, FL 33655-0979
Phone number: 800-910-9207
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