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STANLEY BLOOM — Medicare Enrolled Provider (ORDER AND REFERRING ONLY - UROLOGY, FL)

STANLEY BLOOM — Medicare Enrolled Provider (ORDER AND REFERRING ONLY - UROLOGY, FL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: STANLEY BLOOM; Type: Individual; NPI: 1003041377.

NameSTANLEY BLOOM
TypeIndividual
NPI1003041377
Provider typeORDER AND REFERRING ONLY - UROLOGY
StateFL
Enrollment IDI20160418000967
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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