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Jessica Bloomgarden Md Pa
Medical Specialty Clinic/Center in Sunrise, Florida
NPI 1558877068

Jessica Bloomgarden Md Pa is a Medical Specialty Clinic/Center based in Weston, FL and is specialized in Medical Specialty. Jessica Bloomgarden Md Pa practices in Sunrise, FL. The NPI Number for Jessica Bloomgarden Md Pa is 1558877068 and holds a License No. ME116270 (Florida).

The current practice location address for Jessica Bloomgarden Md Pa is 4399 N Nob Hill Rd, Sunrise, FL and can be reached out via phone at 954-746-1505.

Location: 4399 N Nob Hill Rd, Sunrise, FL, 33326-3587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558877068
Provider Name
Jessica Bloomgarden Md Pa
Credential
Provider Entity Type
Organization
Address
4399 N Nob Hill Rd, Sunrise, FL, 33326-3587
Phone Number
954-746-1505
Fax Number
Provider Enumeration Date
12/19/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013158427 05 FL
institution
Provider Business Practice Location Address Details
Address
4399 N Nob Hill Rd
City
Sunrise
State
Florida
Zip
33351-5813
Phone Number
954-746-1505
Fax Number
person
Provider Business Mailing Address Details
Address
4399 N Nob Hill Rd
City
Sunrise
State
Florida
Zip
33351-5813
Phone Number
954-746-1505
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME116270 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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