Bloomston, Paul Mark
Bloomston, Paul Mark is an individual health care provider with primary practice located at 8925 Colonial Center Dr Ste 1000 , Fort Myers FL 33905-7813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Bloomston, Paul Mark can be contacted via phone (239) 343-7400.Contact Information
Primary practice address
8925 Colonial Center Dr Ste 1000
Fort Myers FL 33905-7813
Phone: (239) 343-7400
Fax: (239) 468-7942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ME125024 | Florida |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 35084271 | Ohio |
Profile Details
| NPI number | 1982658225 |
|---|---|
| LBN Legal business name | Bloomston, Paul Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 22nd, 2025 - about last year |
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 | 1982658225 | NPPES |
| Florida | Other | 7438862 | AETNA |
| Florida | Other | QMP000005121963 | AETNA |
| Florida | Other | P971025 | AETNA |
| Florida | Other | 7073160 | AETNA |
| Florida | Other | 151EV | AETNA |
| Florida | MEDICAID | 015646100 | AETNA |
| Florida | Other | 1191282 | AETNA |
| Florida | Other | 385460 | AETNA |
| Florida | Other | P01547650 | AETNA |
| Florida | Other | P1032667 | AETNA |
| Florida | MEDICAID | 2659814 | AETNA |
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