Organization
BLOSSOM MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA RAMIREZ NORTON (OWNER)
(813) 451-5976
Entity
Organization
Contact information
Practice address
5405 PARK ST N, SAINT PETERSBURG, FL 33709-1044
(813) 701-4909
Mailing address
5405 PARK ST N, SAINT PETERSBURG, FL 33709-1044
(813) 701-4909
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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