Organization
BLOSSOMING SEEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH IBARRA-BRLETIC MA (OWNER/OPERATOR)
(407) 949-2659
Entity
Organization
Contact information
Practice address
426 EAGLE CIR, CASSELBERRY, FL 32707-4821
(407) 949-2659
Mailing address
426 EAGLE CIR, CASSELBERRY, FL 32707-4821
(407) 949-2659
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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