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BLOOM THERAPEUTICS LLC - Florida Company Profile

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Company Details

Entity Name: BLOOM THERAPEUTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Jan 2024 (2 years ago)
Document Number: L24000017256
FEI/EIN Number 990755875
Address: 17050 ANESBURY PLACE, FORT MYERS, FL, 33967, US
Mail Address: 17050 ANESBURY PLACE, FORT MYERS, FL, 33967, US
ZIP code: 33967
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLOOM JASON S President 17050 ANESBURY PLACE, FORT MYERS, FL, 33967
BLOOM JASON S Agent 17050 ANESBURY PLACE, FORT MYERS, FL, 33967

National Provider Identifier

NPI Number:
1952163701
Certification Date:
2024-01-26

Authorized Person:

Name:
JASON SCOTT BLOOM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-01-08

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Date of last update: 02 Jul 2025

Sources: Florida Department of State