| Kendall Blake Bloomer, DC | |
|
401 Se Osceola St, Stuart, FL 34994-2503 | |
| (772) 247-1077 | |
| Not Available |
| Full Name | Kendall Blake Bloomer |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 2 Years |
| Location | 401 Se Osceola St, Stuart, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437901774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14973 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Wellness Centers Llc | 8527122241 | 3 |
| Provider Name | Premier Wellness Centers Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639322712 PECOS PAC ID: 8527122241 Enrollment ID: O20090126000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Blake Bloomer, DC 401 Se Osceola St, Stuart, FL 34994-2503 Ph: () - | Kendall Blake Bloomer, DC 401 Se Osceola St, Stuart, FL 34994-2503 Ph: (772) 247-1077 |
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