MEDICARE: BALANCE AND BLOSSOM NUTRITION 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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1518650340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE AND BLOSSOM NUTRITION LLC

Provider Business Mailing Address
First Line	:	11331 SW 9TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4306
Country	:	US
Telephone Number	:	786-973-1918
Fax Number	:

Provider Business Practice Location Address
First Line	:	11331 SW 9TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4306
Country	:	US
Telephone Number	:	786-973-1918
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACIE ADELE ROBLES
Credential	:	RDN, LD
Telephone Number	:	786-973-1918

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	05/29/2023

Similar Medicare Providers

1760117709 — JACIE ADELE ROBLES RDN
Practice Location Address:

11331 SW 9TH CT
PEMBROKE PINES, FL
33025-4306

Practice Phone: 786-973-1918
Practice Fax:

1164372421 — GREETCHEND TORRES MOLINA
Practice Location Address:

4306 SW 119TH AVE APT 104
MIRAMAR, FL
33025-7989

Practice Phone: 786-939-9207
Practice Fax:

1548207525 — MS. CHRISTINE ROSE DEERING PHD
Practice Location Address:

58 HERSEY RD
PEMBROKE, ME
04666-4306

Practice Phone: 207-726-4007
Practice Fax: 207-726-4007

1477498095 — GRETTEL SANTOS FERNANDEZ RN
Practice Location Address:

10700 CITY CENTER BLVD APT 3303
PEMBROKE PINES, FL
33025-4080

Practice Phone: 786-486-2815
Practice Fax: 786-486-2815

1174468797 — NARA LUXE LLC
Practice Location Address:

10700 CITY CENTER BLVD APT 3303
PEMBROKE PINES, FL
33025-4080

Practice Phone: 786-486-2815
Practice Fax: 786-486-2815

1215642772 — BRIAN CESPEDES HIS
Practice Location Address:

12193 PEMBROKE RD
PEMBROKE PINES, FL
33025-1727

Practice Phone: 954-435-8820
Practice Fax: 954-450-8185

Directions to “BALANCE AND BLOSSOM NUTRITION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.