Bloomston, Paul Mark

Bloomston, Paul Mark is an individual health care provider with primary practice located at 4571 Colonial Blvd Suite 100, Fort Myers FL 33966-1156. 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) 333-0995.

Contact Information

Primary practice address
4571 Colonial Blvd Suite 100 Fort Myers FL 33966-1156
Phone: (239) 333-0995
Fax: (844) 615-5267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35084271 Ohio
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME125024 Florida

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 Apr 21st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982658225 NPPES
Florida Other 385460 AVMED
Florida Other P01547650 AVMED
Florida Other 1191282 AVMED
Florida Other QMP000005121963 AVMED
Florida MEDICAID 015646100 AVMED
Florida Other 7073160 AVMED
Florida Other 7438862 AVMED
Florida Other P1032667 AVMED
Florida Other 151EV AVMED
Florida MEDICAID 2659814 AVMED
Florida Other P971025 AVMED

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