Organization
ALIVE & BLOSSOM HEALTHCARE LLC
Active
Other names
B12 Health Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARGALY VALCOURT ARNP (MANAGER)
(954) 394-4793
Entity
Organization
Contact information
Practice address
190 CHAMPIONS VUE LOOP UNIT 408, DAVENPORT, FL 33897-4857
(954) 394-4793
Mailing address
1157 E WINGED FOOT CIR, WINTER SPRINGS, FL 32708-4204
(954) 394-4793
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
About Stedi
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