Burkeblossom Monica

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906191 Issued in FL

Legal business name

BURKEBLOSSOM MONICA

Doing business as

burke blossom monica

Practice address

907 N Taylor Rd
Brandon, FL 33510-3121

Phone

(813) 684-3702

Fax

(813) 684-3702

NPI assigned

Mar 31, 2008

Last updated

Sep 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blossom Monica Burke, N/A

Title

Owner/Caregiver

Phone

(813) 684-3702

Specialties & licenses 1

Addresses

Other names 1

• burke blossom monica Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1609048602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N TAYLOR RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103121",
            "telephone_number": "813-684-3702",
            "fax_number": "813-684-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N TAYLOR RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103121",
            "telephone_number": "813-684-3702",
            "fax_number": "813-684-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKEBLOSSOM MONICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "BLOSSOM",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/CAREGIVER",
        "authorized_official_telephone_number": "813-684-3702",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "burke blossom monica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Burford
• Roberto Burgos-Rodriguez, M.D.
• Katherine Nicole Burgos
• Burke Collins Therapy, Inc (Back To Work Physical Therapy)
• Tracy Lynne Burke
• Irene Burkett, LMHC
• Anna Claire Burks, MS CCC-SLP
• Jamie Burney
• Regina Burr, LMFT
• Eddie James Burrell Jr., CNA

• Adult Care Home Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.