Healthcare Provider Details

I. General information

NPI: 1932049145
Provider Name (Legal Business Name): BLOOMGROW EMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 GLADES RD SUITE 324A OFFICE 101
BOCA RATON FL
33431
US

IV. Provider business mailing address

5533 N MILITARY TRL APT 1712
BOCA RATON FL
33496-3496
US

V. Phone/Fax

Practice location:
  • Phone: 561-215-7820
  • Fax:
Mailing address:
  • Phone: 561-215-7820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERIKA M RAMOS
Title or Position: LCSW/THERAPIST
Credential: LCSW
Phone: 561-215-7820