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Organization

BLOOMING HEALTH CENTER LLC

Active
Other names
Blooming Health Center LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RAQUEL RALAT MARTINEZ LCSW (OWNER)
(407) 301-7299
Entity
Organization

Contact information

Practice address
1701 PARK CENTER DR STE 100, ORLANDO, FL 32835-6235
(407) 301-7299
Mailing address
1701 PARK CENTER DR, STE. 100 OFFICE 131, ORLANDO, FL 32835-6235
(407) 301-7299

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122081800
FL
Enumeration date
12/12/2024
Last updated
01/31/2025
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