MEDICARE: SOPHIA FLOWERS

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
1	246RP1900X	Phlebotomy Technician		FL

General Provider Information

NPI Number	:	1316890403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA FLOWERS

Provider Business Mailing Address
First Line	:	1245 PALM BAY RD BAY RSOD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32905-7620
Country	:	US
Telephone Number	:	321-634-4449
Fax Number	:	321-275-4225

Provider Business Practice Location Address
First Line	:	3255 BAYSIDE LAKES BLVD SE STE 105
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6875
Country	:	US
Telephone Number	:	321-634-4449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ SOPHIA FLOWERS ” Practice Location

Language	Start Address	Practice Location

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