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Blossom Medspa & Wellness Clinic, Llc
Medical Specialty Clinic/Center in Melbourne, Florida
NPI 1760872600

Blossom Medspa & Wellness Clinic, Llc is a Medical Specialty Clinic/Center based in Melbourne, FL and is specialized in Medical Specialty. Blossom Medspa & Wellness Clinic, Llc practices in Melbourne, FL. The NPI Number for Blossom Medspa & Wellness Clinic, Llc is 1760872600 and holds a License No. PA9101508 (Florida).

The current practice location address for Blossom Medspa & Wellness Clinic, Llc is 2304 S Babcock St, Melbourne, FL and can be reached out via phone at 321-837-3935.

Location: 2304 S Babcock St, Melbourne, FL, 32901-5308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760872600
Provider Name
Blossom Medspa & Wellness Clinic, Llc
Credential
Provider Entity Type
Organization
Address
2304 S Babcock St, Melbourne, FL, 32901-5308
Phone Number
321-837-3935
Fax Number
Provider Enumeration Date
01/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2304 S Babcock St
City
Melbourne
State
Florida
Zip
32901-5308
Phone Number
321-837-3935
Fax Number
person
Provider Business Mailing Address Details
Address
2304 S Babcock St
City
Melbourne
State
Florida
Zip
32901-5308
Phone Number
321-837-3935
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
PA9101508 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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