OrganizationActive
In Bloom Birth and Wellness PLLC
NPI 1649901992 · Obstetrics & Gynecology Nurse Practitioner · Melbourne, FL
Provider details
- NPI number
- 1649901992
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Linda Legault, Owner/Provider
Practice location
1370 Sarno Rd Ste D
Melbourne, FL 32935-5230
Phone: (321) 354-6911
Fax: (321) 617-5786
Mailing address
2032 Siroco Ln
Melbourne, FL 32934-7600
Registry dates
- Enumerated
- 2022-06-17
- Last updated
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.