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Alive & Blossom Healthcare LLC — NPI 1184313462, Davenport, FL | NPI Central

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NPI 1184313462

OrganizationActive

Alive & Blossom Healthcare LLC

NPI 1184313462 · Primary Care Clinic/Center · Davenport, FL

Provider details

NPI number: 1184313462
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Margaly Valcourt, Manager(954) 394-4793

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Practice location

190 Champions Vue Loop Unit 408

Davenport, FL 33897-4857

Phone: (954) 394-4793

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

1157 E Winged Foot Cir

Winter Springs, FL 32708-4204

Other names (DBA / former)

Doing business as: B12 Health Mobile

Registry dates

Enumerated: 2023-05-03
Last updated: 2023-05-03
Certified: 2021-03-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.