Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alive & Blossom Healthcare LLC

Organization Primary Care Nurse Practitioner · NPI 1669067146

Alive & Blossom Healthcare LLC is a Primary Care Nurse Practitioner in Davenport, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

190 Champions Vue Loop Unit 408
Davenport, FL 33897-4857
Phone: (954) 394-4793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1669067146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaly Valcourt — Manager · (954) 394-4793
Other names B12 Health Mobile
NPI enumeratedMarch 5, 2021
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address190 Champions Vue Loop Unit 408, Davenport, FL 33897-4857

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