| Bionic Bloom | |
|
146 2nd St N Ste 203 St Petersburg FL 33701-3361 | |
| (727) 490-9911 | |
| Not Available |
| Full Name | Bionic Bloom |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 146 2nd St N Ste 203, St Petersburg, Florida |
| Authorized Official Name and Position | Angela Fisher (CEO) |
| Authorized Official Contact | 7274909911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bionic Bloom 146 2nd St N Ste 203 St Petersburg FL 33701-3361 Ph: (727) 490-9911 | Bionic Bloom 146 2nd St N Ste 203 St Petersburg FL 33701-3361 Ph: (727) 490-9911 |
| NPI Number | 1285355610 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Certification Date | 09/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285355610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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