| Blossom Psychiatry And Wellness Pllc | |
|
615 S Arnold Ave Lantana FL 33462-4305 | |
| (954) 770-0834 | |
| Not Available |
| Full Name | Blossom Psychiatry And Wellness Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 615 S Arnold Ave, Lantana, Florida |
| Authorized Official Name and Position | Crystol Vassell (NURSE PRACTITIONER) |
| Authorized Official Contact | 9547700834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Psychiatry And Wellness Pllc 615 S Arnold Ave Lantana FL 33462-4305 Ph: (954) 770-0834 | Blossom Psychiatry And Wellness Pllc 615 S Arnold Ave Lantana FL 33462-4305 Ph: (954) 770-0834 |
| NPI Number | 1013706944 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Medicare PECOS PAC ID | 0143739482 |
|---|---|
| Medicare Enrollment ID | O20250529003909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013706944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Crystol Vassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558137265 PECOS PAC ID: 9234664699 Enrollment ID: I20241121001990 |
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