License Verification

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MARTIN GLENN BLOOM MD

License Number: ME27887

Data As Of 4/25/2025

Profession
Medical Doctor
License
ME27887
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
05/25/1976
Address of Record
3100 S. FEDERAL HIGHWAY
SUITE D
DELRAY BEACH, FL 33483
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6801 Collins Ave
MIAMI BEACH, FL 33141
Address
5300 Island Blvd
AVENTURA, FL 33160
Address
115 NE 32nd St Ste 102
MIAMI, FL 33137
Address
1499 Yamato Road
BOCA RATON, FL 33431
Address
501 E Camino Real
BOCA RATON, FL 33432
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CASSIDY, GIULIANA Dispensing Physician Assistant Physician Assistant 3411 6/8/2022
DA COSTA, MELANIE Dispensing Physician Assistant Physician Assistant 9111633 6/8/2022
DA COSTA, MELANIE Prescribing Physician Assistant Physician Assistant 9111633 5/29/2019
LABELLA, ELIZABETH Dispensing Physician Assistant Physician Assistant 9116154 6/8/2022
ROGERS, MELANIE Dispensing Physician Assistant Physician Assistant 9112673 7/10/2024
ROGERS, MELANIE Prescribing Physician Assistant Physician Assistant 9112673 7/10/2024
ZOPPI, KRISTEN MARIE Prescribing Physician Assistant Physician Assistant 9105604 9/17/2018

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/26/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.