| Blossom Medical Center Corp | |
|
5405 Park St N Saint Petersburg FL 33709-1044 | |
| (813) 701-4909 | |
| Not Available |
| Full Name | Blossom Medical Center Corp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5405 Park St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Raisa Ramirez Norton (OWNER) |
| Authorized Official Contact | 8134515976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Medical Center Corp 5405 Park St N Saint Petersburg FL 33709-1044 Ph: (813) 701-4909 | Blossom Medical Center Corp 5405 Park St N Saint Petersburg FL 33709-1044 Ph: (813) 701-4909 |
| NPI Number | 1942177969 |
|---|---|
| Provider Enumeration Date | 10/22/2025 |
| Last Update Date | 10/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942177969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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