Blissful Rejuvenation, Inc.
Organization Active NPI Primary Care Clinic/Center · Arcadia, FL
NPI 1467228932 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1467228932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- BLISSFUL REJUVENATION, INC.
- Practice address
- 2721 SE Highway 31
Arcadia, FL 34266-7974 - Phone
- (863) 491-1020
- Fax
- (888) 370-3383
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Kimberly Diane Gunter Davis, APRN
- Title
- Aprn
- Phone
- (863) 491-1020
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240328001867 | FL | Part B Supplier - Clinic/Group Practice | 1456798214 |
Receives reassigned benefits from 1 practitioner Practice locations: Arcadia, FL |
National Provider Directory
Locations
2721 SE Highway 31
Arcadia, FL 34266
Phone (863) 491-1020
216 W Hickory St
Arcadia, FL 34266
Phone (863) 491-1020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
2721 SE Highway 31
Arcadia, FL 34266-7974
Mailing address
2721 SE Highway 31
Arcadia, FL 34266-7974
Phone (863) 491-1020
Other providers in Arcadia, FL
- Big Sister Applied Behavior Analysis LLC
- Bisht LLC
- Anthony J Bisignano
- Bryson Dale Blackburn
- Robin Storm Bledsoe
- Rebecca Bolt
- Danyiell E Bonville
- Maureen Jean Bowman
- Julae E Brock
- Tirsit A Brooks
All providers in Arcadia, FL · Primary Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.