Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark William Bloom, MD

Individual provider General Practice Physician · NPI 1265562524

Dr. Mark William Bloom, MD is a General Practice Physician in Doral, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4550 NW 102nd Pl
Doral, FL 33178-2276
Phone: (305) 599-3788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 56011 (FL)

Record details

NPI number1265562524
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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