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

Q: What is Blossom Medspa & Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

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: August 16, 2026.

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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

Phone(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

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Other Identifiers 1

Medicare UPINS51207FL

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 Blossom Medspa & Wellness Clinic, LLC's NPI number?

The NPI number for Blossom Medspa & Wellness Clinic, LLC is 1760872600. It was assigned to this organization in the NPPES registry on January 30, 2015.

Where is Blossom Medspa & Wellness Clinic, LLC located?

Blossom Medspa & Wellness Clinic, LLC is located at 2304 S Babcock St, Melbourne, FL 32901. The listed phone number is (321) 837-3935.

What is Blossom Medspa & Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Blossom Medspa & Wellness Clinic, LLC was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.