Bloom, Iaisa Shikema

Bloom, Iaisa Shikema is an sole proprietor health care provider with primary practice located at 10301 Hagen Ranch Rd Ste B6 , Boynton Beach FL 33437-3723. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bloom, Iaisa Shikema can be contacted via phone (561) 752-9490.

Contact Information

Primary practice address
10301 Hagen Ranch Rd Ste B6 Boynton Beach FL 33437-3723
Phone: (561) 752-9490
Fax: (561) 752-9491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARPN11010245 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11010245 Florida

Profile Details

NPI number 1326635970
LBN Legal business name Bloom, Iaisa Shikema
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2020
Last updated Jul 27th, 2023 - about 3 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.

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