| Bloom360 Medical PLLC | |
|
4444 2nd Ave Ste 30674 Detroit MI 48201-1216 | |
| (833) 348-3044 | |
| Not Available |
| Full Name | Bloom360 Medical PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4444 2nd Ave, Detroit, Michigan |
| Authorized Official Name and Position | Nadine Kamel Jawad (CMO) |
| Authorized Official Contact | 3132058939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom360 Medical PLLC 4444 2nd Ave Ste 30674 Detroit MI 48201-1216 Ph: (313) 205-1385 | Bloom360 Medical PLLC 4444 2nd Ave Ste 30674 Detroit MI 48201-1216 Ph: (833) 348-3044 |
| NPI Number | 1942136650 |
|---|---|
| Provider Enumeration Date | 06/20/2026 |
| Last Update Date | 07/17/2026 |
| Certification Date | 07/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942136650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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