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General NPI Number Information
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NPI Number | 1831077155
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Entity Type | Organization
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Legal Business Name | BLOOMING WELLNESS INC.
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 16952 MONTEVERDE DR
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City | SPRING HILL
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State | FL
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Zip | 34610-7759
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Country | US
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Telephone | 305-297-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 138 MARINER BLVD # 501
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City | SPRING HILL
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State | FL
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Zip | 34609-5687
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Country | US
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Telephone | 305-297-0345
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Fax |
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Authorized Official
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Title or Position | DPS
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Name | ANNETTE SOBRADO-PICHARDO
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Credential | OTR/L
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Telephone | 305-297-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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