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ALIVE & BLOSSOM HEALTHCARE LLC
NPI 1669067146
Nurse Practitioner - Primary Care in Davenport, FL

Active since March 05, 2021
190 CHAMPIONS VUE LOOP UNIT 408, DAVENPORT, FL 33897(954) 394-4793 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alive & Blossom Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIVE & BLOSSOM HEALTHCARE LLC (NPI 1669067146), doing business as B12 Health Mobile, is a healthcare organization registered as a primary care in Davenport, Florida and active in the NPI registry since March 2021. The organization lists Margaly Valcourt, Manager, as its authorized official.

NPPES Registry Identity

NPI1669067146
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameALIVE & BLOSSOM HEALTHCARE LLC
Location Address190 CHAMPIONS VUE LOOP UNIT 408Davenport, FL 33897-4857
Mailing Address190 Champions Vue Loop Unit 408Davenport, FL 33897-4857 · (954) 394-4793
Phone(954) 394-4793
Organization SubpartNo
Authorized OfficialMargaly ValcourtManager · (954) 394-4793
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1669067146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
190 CHAMPIONS VUE LOOP UNIT 408, Davenport, FL 33897
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Other Names 1

Doing Business AsB12 Health Mobile

Other Identifiers 1

Other0000000FL · N/a

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIVE & BLOSSOM HEALTHCARE LLC
Clinic/Center (Primary Care)
190 CHAMPIONS VUE LOOP UNIT 408
DAVENPORT, FL 33897
Polk County (954) 394-4793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alive & Blossom Healthcare LLC's NPI number?

The NPI number for Alive & Blossom Healthcare LLC is 1669067146. It was assigned to this organization in the NPPES registry on March 5, 2021. The provider is doing business as B12 Health Mobile.

Where is Alive & Blossom Healthcare LLC located?

Alive & Blossom Healthcare LLC is located at 190 Champions Vue Loop Unit 408, Davenport, FL 33897. The listed phone number is (954) 394-4793.

What is Alive & Blossom Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Alive & Blossom Healthcare LLC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.