BLOOM MEDICAL CLINIC LLC – NPI #1386590800
Clinic/Center

BLOOM MEDICAL CLINIC LLC is an AHC clinic located in ORLANDO, FL. NPPES has assigned the NPI number 1386590800 to BLOOM MEDICAL CLINIC LLC on March 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOOM MEDICAL CLINIC LLC below.

NPI Profile for
BLOOM MEDICAL CLINIC LLC

NPI Number
1386590800
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOOM MEDICAL CLINIC LLC
Primary location
7932 W SAND LAKE RD STE 106
ORLANDO, FL 32819-7299
Phone: (407) 465-1995 Fax:
1 Other location(s):
3224 W Lake Mary Blvd Ste 1500
Lake Mary, FL 32746-3581
Phone: (407) 465-1995
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HAROON NAWAZ
OWNER / MANAGER
Phone: (407) 734-3644
Updated
Certification Date
Mar 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
363LP2300X
- Nurse Practitioner / Primary Care
207QA0505X
- Family Medicine / Adult Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.