| NPI | 1629208509 |
|---|---|
| Doing Business As | BLOSSOM PEDIATRIC CARE |
| Entity Type | Organization |
| Authorized Contact | DURGA P CHINTAKAYALA Physician 813-324-7029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QP2300X Clinic/Center Primary Care (Licence: FL ME112476) | |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2022-12-22 |