Bloom, Cynthia R.
Bloom, Cynthia R. is an individual health care provider with primary practice located at 1700 South Tamiami Trail , Sarasota FL 34239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bloom, Cynthia R. can be contacted via phone (941) 917-1668.Contact Information
Primary practice address
1700 South Tamiami Trail
Sarasota FL 34239
Phone: (941) 917-1668
Fax: (941) 917-4273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME73265 | Florida |
Profile Details
| NPI number | 1093774556 |
|---|---|
| LBN Legal business name | Bloom, Cynthia R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jun 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093774556 | NPPES |
| Florida | Other | 41300 | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Florida | MEDICAID | 252222500 | BLUE CROSS BLUE SHIELD OF FLORIDA |
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