Organization
BLOSSOMING WELLBEING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TASHA AL-JARBOUA PA-C (CEO)
(833) 779-2633
Entity
Organization
Contact information
Practice address
6622 32ND WAY S, ST PETERSBURG, FL 33712-5408
(833) 779-2633
Mailing address
4905 34TH ST S STE 135, ST PETERSBURG, FL 33711-4511
(833) 779-2633
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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