Bloomquist, Erica Victoria
Bloomquist, Erica Victoria is an sole proprietor health care provider with primary practice located at 1150 N 35Th Ave Suite 205A, Hollywood FL 33021-5424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Bloomquist, Erica Victoria can be contacted via phone (954) 265-5846.Contact Information
Primary practice address
1150 N 35Th Ave Suite 205A
Hollywood FL 33021-5424
Phone: (954) 265-5846
Fax: (954) 985-2451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ME119246 | Florida |
Profile Details
| NPI number | 1730151853 |
|---|---|
| LBN Legal business name | Bloomquist, Erica Victoria |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 20th, 2024 - about 2 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 | 1730151853 | NPPES |
| Florida | MEDICAID | 011820100 | |
| Florida | Other | HU529Z |
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