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NPI Code Detail

MEDICARE: BLOOMING ROSES LLC

MEDICARE: BLOOMING ROSES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0102XSurgical Critical Care Physician
2207PE0004XEmergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number : 1033065594
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOOMING ROSES LLC
Provider Business Mailing Address
First Line : 10660 ROYAL CYPRESS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32836-6528
Country : US
Telephone Number : 561-200-5000
Fax Number :
Provider Business Practice Location Address
First Line : 10660 ROYAL CYPRESS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32836-6528
Country : US
Telephone Number : 561-200-5000
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. RAIMUNDO DA SILVA REZENDE
Credential : MD
Telephone Number : 561-200-5000
Provider Enumeration Date : 03/07/2026
Last Update Date : 03/07/2026

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Directions to “BLOOMING ROSES LLC ” Practice Location

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