| Blossoming Wellbeing Corp. | |
|
6622 32nd Way S St Petersburg FL 33712-5408 | |
| (833) 779-2633 | |
| Not Available |
| Full Name | Blossoming Wellbeing Corp. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6622 32nd Way S, St Petersburg, Florida |
| Authorized Official Name and Position | La Tasha Al-jarboua (CEO) |
| Authorized Official Contact | 8337792633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Wellbeing Corp. 4905 34th St S Ste 135 St Petersburg FL 33711-4511 Ph: (833) 779-2633 | Blossoming Wellbeing Corp. 6622 32nd Way S St Petersburg FL 33712-5408 Ph: (833) 779-2633 |
| NPI Number | 1972165231 |
|---|---|
| Provider Enumeration Date | 07/07/2019 |
| Last Update Date | 07/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972165231 | NPI | - | NPPES |
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