BLOSSOM MEDSPA & WELLNESS CLINIC, LLC
NPI 1760872600
Clinic/Center - Medical Specialty in Melbourne, FL

Active since January 30, 2015
2304 S BABCOCK ST, MELBOURNE, FL 32901(321) 837-3935 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blossom Medspa & Wellness Clinic, Llc NPPES

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

BLOSSOM MEDSPA & WELLNESS CLINIC, LLC (NPI 1760872600) is a healthcare organization registered as a medical specialty in Melbourne, Florida and active in the NPI registry since January 2015. The organization lists Naresh Maneklal Davda, Owner, as its authorized official.

NPPES Registry Identity

NPI1760872600
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBLOSSOM MEDSPA & WELLNESS CLINIC, LLC
Location Address2304 S BABCOCK STMelbourne, FL 32901-5308
Mailing Address2304 S Babcock StMelbourne, FL 32901-5308 · (321) 837-3935
Organization SubpartNo
Authorized OfficialNaresh Maneklal DavdaOwner · (321) 837-3935
Enumeration DateJanuary 30, 2015
NPI 1760872600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in FL · PA9101508
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2304 S BABCOCK ST, Melbourne, FL 32901

Other Identifiers 1

Medicare UPINS51207FL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760872600, enumerated as an "organization" on January 30, 2015.

The provider is located at 2304 S BABCOCK ST MELBOURNE, FL 32901 and the phone number is (321) 837-3935.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.