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

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
Mailing address4550 Nw 102nd Pl, Doral, FL 33178-2276

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