Healthcare Provider Details
I. General information
NPI: 1437009495
Provider Name (Legal Business Name): BLCA INVESTMENTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5344 SPRING HILL DR
SPRING HILL FL
34606-4562
US
IV. Provider business mailing address
3 SEEDLING DR
SAFETY HARBOR FL
34695-5229
US
V. Phone/Fax
- Phone: 352-514-8209
- Fax:
- Phone: 352-514-8209
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEAH
STUBBLEFIELD
Title or Position: OWNER/PA-C
Credential: PA-C
Phone: 352-514-8209