# BIRTH BLOSSOMS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922438431
- **Authorized official:** MS. MARY LOUISE RAINER LM (DIRECTOR)
- **Authorized official phone:** (772) 475-8560

## Contact information

- **Practice address:** 1903 SUNRISE BLVD, FORT PIERCE, FL 34950-8101
- **Practice address phone:** (772) 475-8560
- **Practice address fax:** (772) 801-5293
- **Mailing address:** 1903 SUNRISE BLVD, FORT PIERCE, FL 34950-8101
- **Mailing address phone:** (772) 475-8560
- **Mailing address fax:** (772) 801-5293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW264 | FL | Yes |

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 11/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006593100 | — | FL |