Blossom Family Chiropractic
Chiropractor in Saint Petersburg, FL. Organization (NPI-2).
NPI number1043663693
StatusActive
Last updated in NPPESJul 19, 2016
Details
- NPI
- 1043663693
- Entity type
- Organization (NPI-2)
- Legal business name
- Blossom Family Chiropractic
- Organization subpart
- No
- Enumeration date
- Jul 19, 2016
- Last updated
- Jul 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH 11817 | FL | Yes |
Practice location
360 Central AveSte 480
Saint Petersburg, FL 33701-3857
Phone 727-498-5643
Mailing address
360 Central AveSte 480
Saint Petersburg, FL 33701-3857
Phone 727-498-5643
Authorized official
Savannah Irby Ford
Owner/ Chiropractor
8135052671
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