Dr. Jessica Bloomgarden
Physical Medicine & Rehabilitation Doctor
4399 N Nob Hill Rd
Sunrise
, Florida 33351-5813
Dr. Jessica Bloomgarden
Physical Medicine & Rehabilitation Doctor
4399 N Nob Hill Rd
Sunrise
, Florida 33351-5813
(646) 265-9264
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Jessica Bloomgarden
- 109 Montclaire Dr
- Weston, FL
- Zip : 33326-3587
- Phone : (646) 265-9264
Second Address
- Dr. Jessica Bloomgarden
- 4399 N Nob Hill Rd
- Sunrise, FL
- Zip : 33351-5813
- Fax : (954) 746-1562
- Phone : (954) 746-1505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 251635 | NY |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA08531600 | NJ |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME116270 | FL |
National Provider Identifier
| NPI | 1013158427 |
|---|---|
| Provider Name | Dr. Jessica Bloomgarden |
| First Address | Weston, FL 33326-3587 |
| Second Address | Sunrise, FL 33351-5813 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2009 |
| Last Update Date | 19/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.