Organization
BLOSSOM THERAPIES OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEY D CREECH M.S. CCC-SLP (OWNER)
(727) 310-4134
Entity
Organization
Contact information
Practice address
1803 FOREST DR, OLDSMAR, FL 34677-2714
(727) 310-4134
Mailing address
1803 FOREST DR, OLDSMAR, FL 34677-2714
(727) 310-4134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 14170
FL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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