Healthcare Provider Details
I. General information
NPI: 1659275279
Provider Name (Legal Business Name): BLESSED STEPS PPEC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1927 W FLAGLER ST
MIAMI FL
33135-1614
US
IV. Provider business mailing address
1927 W FLAGLER ST
MIAMI FL
33135-1614
US
V. Phone/Fax
- Phone: 786-936-3400
- Fax:
- Phone: 786-936-3400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM3000X |
| Taxonomy | Medically Fragile Infants and Children Day Care |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JAVIER
GONZALEZ
Title or Position: MANAGER/MEMBER
Credential: PT, DPT
Phone: 305-776-2084