Individual provider · Type 1 NPI

Jacy Bloom, D.C. M.S.

Chiropractor · Venice, FL

NPI number 1407306517 Active

Practice location

2190 Tamiami Trl S
Venice, FL 34293-5040

Mailing address

2 Brentwood Ln
Englewood, FL 34223-4652

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH 11985 (FL)
Chiropractor 111N00000XCH11985 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1407306517

Jacy Bloom, D.C. M.S.'s National Provider Identifier is 1407306517, issued on Oct 12, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Venice, FL. The record was last updated on Oct 17, 2016.