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

Bloom Pediatrics, PLLC

Organization Pediatric Nurse Practitioner · NPI 1104760537

Bloom Pediatrics, PLLC is a Pediatric Nurse Practitioner in Callahan, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

542194 US Highway 1
Callahan, FL 32011-8109
Phone: (904) 675-3076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1104760537
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Raines — Owner · (904) 675-3076
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address542194 Us Highway 1, Callahan, FL 32011-8109

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