Organization · Type 2 NPI

Bloom Pediatrics, PLLC

Pediatric Nurse Practitioner · Callahan, FL

NPI number 1104760537 Active

Practice location

542194 US Highway 1
Callahan, FL 32011-8109

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1104760537

Bloom Pediatrics, PLLC's National Provider Identifier is 1104760537, issued on Apr 16, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Callahan, FL. The record was last updated on Apr 16, 2026.