# BLOSSOM ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104234202
- **Authorized official:** IGNACIO MENDEZ AP (OWNER)
- **Authorized official phone:** (305) 878-9012

## Contact information

- **Practice address:** 8353 SW 124TH ST, SUITE 201, MIAMI, FL 33156-5851
- **Practice address phone:** (305) 878-9012
- **Mailing address:** 15420 SW 78TH CT, PALMETTO BAY, FL 33157-2348
- **Mailing address phone:** (305) 878-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 3320 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 08/01/2014