Healthcare Provider Details
I. General information
NPI: 1295262384
Provider Name (Legal Business Name): BLESSINGS WOMAN'S CARE & MEDICAL SPA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7157 UNIVERSITY BLVD
WINTER PARK FL
32792-6724
US
IV. Provider business mailing address
7157 UNIVERSITY BLVD
WINTER PARK FL
32792-6724
US
V. Phone/Fax
- Phone: 407-571-9185
- Fax: 321-760-2955
- Phone: 407-571-9185
- Fax: 321-760-2955
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME119062 |
| License Number State | FL |
VIII. Authorized Official
Name: MRS.
ANDREIA
MORAES
ACUNA
Title or Position: OWNER
Credential: MD
Phone: 407-571-9185