Organization
BLOSSOM MEDSPA & WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARESH MANEKLAL DAVDA PA (OWNER)
(321) 837-3935
Entity
Organization
Contact information
Practice address
2304 S BABCOCK ST, MELBOURNE, FL 32901-5308
(321) 837-3935
Mailing address
2304 S BABCOCK ST, MELBOURNE, FL 32901-5308
(321) 837-3935
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
PA9101508
FL
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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