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BLOOM PEDIATRICS, PLLC
NPI 1104760537
Nurse Practitioner - Pediatrics in Callahan, FL

Active since April 16, 2026
542194 US HIGHWAY 1, CALLAHAN, FL 32011(904) 675-3076 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloom Pediatrics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM PEDIATRICS, PLLC (NPI 1104760537) is a healthcare organization registered as a pediatrics in Callahan, Florida and active in the NPI registry since April 2026. The organization lists Jessica Raines, Owner, as its authorized official.

NPPES Registry Identity

NPI1104760537
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBLOOM PEDIATRICS, PLLC
Location Address542194 US HIGHWAY 1Callahan, FL 32011-8109
Mailing Address542194 Us Highway 1Callahan, FL 32011-8109
Phone(904) 675-3076
Organization SubpartNo
Authorized OfficialJessica RainesOwner · (904) 675-3076
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1104760537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
542194 US HIGHWAY 1, Callahan, FL 32011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRON EDDY LCSW
Social Worker (Clinical)
542194 US HIGHWAY 1
CALLAHAN, FL 32011
Nassau County (904) 339-5826

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Pediatrics, PLLC's NPI number?

The NPI number for Bloom Pediatrics, PLLC is 1104760537. It was assigned to this organization in the NPPES registry on April 16, 2026.

Where is Bloom Pediatrics, PLLC located?

Bloom Pediatrics, PLLC is located at 542194 Us Highway 1, Callahan, FL 32011. The listed phone number is (904) 675-3076.

What is Bloom Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Bloom Pediatrics, PLLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.