| Bassan & Bloom M D S P L | |
|
4302 Alton Rd # 850 Miami Beach FL 33140-2891 | |
| (305) 532-2999 | |
| (305) 674-4803 |
| Full Name | Bassan & Bloom M D S P L |
|---|---|
| Speciality | Internal Medicine |
| Location | 4302 Alton Rd, Miami Beach, Florida |
| Authorized Official Name and Position | Isaac Bassan (PRESIDENT) |
| Authorized Official Contact | 3055322999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bassan & Bloom M D S P L 4302 Alton Rd # 850 Miami Beach FL 33140-2891 Ph: (305) 532-2999 | Bassan & Bloom M D S P L 4302 Alton Rd # 850 Miami Beach FL 33140-2891 Ph: (305) 532-2999 |
| NPI Number | 1598956690 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/31/2015 |
| Medicare PECOS PAC ID | 3173788015 |
|---|---|
| Medicare Enrollment ID | O20120627000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598956690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Miguel A Suarez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497770838 PECOS PAC ID: 3072546134 Enrollment ID: I20050919000267 |
| Provider Name | Michael L Bloom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306834171 PECOS PAC ID: 2668535196 Enrollment ID: I20120627000527 |
| Provider Name | Isaac Bassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497741318 PECOS PAC ID: 1759444284 Enrollment ID: I20120718000131 |
| Provider Name | Linda Rachel Topel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790254027 PECOS PAC ID: 5890031462 Enrollment ID: I20190118001377 |
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