Healthcare Provider Details

I. General information

NPI: 1528983020
Provider Name (Legal Business Name): BLOSSOM RAMDEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 SW 80TH AVE APT C
NORTH LAUDERDALE FL
33068-3277
US

IV. Provider business mailing address

951 SW 80TH AVE APT C
NORTH LAUDERDALE FL
33068-3277
US

V. Phone/Fax

Practice location:
  • Phone: 754-422-6589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPSI46713
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: