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Organization
BLOSSOM ACUPUNCTURE LLC
Active
Organization
BLOSSOM ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO MENDEZ AP (OWNER)
(305) 878-9012
Entity
Organization
Contact information
Practice address
8353 SW 124TH ST, SUITE 201, MIAMI, FL 33156-5851
(305) 878-9012
Mailing address
15420 SW 78TH CT, PALMETTO BAY, FL 33157-2348
(305) 878-9012
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3320
FL
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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