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General NPI Number Information
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NPI Number | 1033065594
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Entity Type | Organization
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Legal Business Name | BLOOMING ROSES LLC
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 10660 ROYAL CYPRESS WAY
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City | ORLANDO
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State | FL
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Zip | 32836-6528
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Country | US
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Telephone | 561-200-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 10660 ROYAL CYPRESS WAY
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City | ORLANDO
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State | FL
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Zip | 32836-6528
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Country | US
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Telephone | 561-200-5000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RAIMUNDO DA SILVA REZENDE
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Credential | MD
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Telephone | 561-200-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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