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NPI Code Detail

MEDICARE: BLOOM WELLNESS & CHIROPRACTIC, INC.

MEDICARE: BLOOM WELLNESS & CHIROPRACTIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife
2111N00000XChiropractor

General Provider Information

NPI Number : 1790641231
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOOM WELLNESS & CHIROPRACTIC, INC.
Provider Business Mailing Address
First Line : 13049 W LINEBAUGH AVE STE 102
Second Line :
City : TAMPA
State : FL
Zip : 33626-4488
Country : US
Telephone Number : 813-461-3355
Fax Number :
Provider Business Practice Location Address
First Line : 13049 W LINEBAUGH AVE STE 102
Second Line :
City : TAMPA
State : FL
Zip : 33626-4488
Country : US
Telephone Number : 813-461-3355
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ALEXA ELIZABETH VALDEZ
Credential : DC, LM
Telephone Number : 813-461-3355
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “BLOOM WELLNESS & CHIROPRACTIC, INC. ” Practice Location

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