BLOOM FAMILY DOCTOR, PLLC
Ambulatory Health at Casey Rd, Tampa, FL

License number
Florida OS8327
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. DEBORAH TANUS D.O.
Title: MEDICAL DIRECTOR
Phone: (813) 963-1982
Address
Address
14924 Casey Rd, Tampa, FL 33624
National Provider ID: 1013273721
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLOOM FAMILY DOCTOR, PLLC at bizstanding.com

BLOOM FAMILY DOCTOR PLLC

14924 Casey Rd, Tampa, FL 33624

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 9, 2012
Inactive since:
Sep 27, 2013
State ID:
L12000033997
Business type:
Florida Limited Liability Company
Divine Foot Llc, PO Box 341051, Tampa, FL 33694 (Physical)
FEI/EIN:
NONE

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