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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None 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.