Active NPI
Neurobloom Therapy LLC
- Speech-Language Pathologist
- Titusville, FL
National Provider Identifier
1609794411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- NEUROBLOOM THERAPY LLC
- Practice address
- 323 S Washington Ave # 312
Titusville, FL 32796-3593 - Phone
- (689) 986-4560
- NPI assigned
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Denise Boffil, CCC-SLP
- Title
- Owner/ Speech Language Pathologist
- Phone
- (689) 986-4560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
323 S Washington Ave # 312
Titusville, FL 32796-3593
Mailing address
323 S Washington Ave # 312
Titusville, FL 32796-3593
National Provider Directory
National Provider DirectoryLocations
323 S Washington Ave
#312
Titusville, FL 32796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1609794411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S WASHINGTON AVE # 312",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S WASHINGTON AVE # 312",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327963593",
"telephone_number": "689-986-4560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROBLOOM THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "BOFFIL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER/ SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "689-986-4560",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
- Mary Elizabeth Navarino
- Manuel Angel Navas Micheo, M.D., F.A.C.O.G.
- Cindy M Nazario- Matos, M.D.
- Jennifer L Neff, APRN, MSN, FNP-BC
- Nemours Children'S Health, Titusville, Specialty Care
- Neurospect of Florida
- New Creation Counseling LLC
- New Life Space Coast Adult Daycare
- Jade Newberry, SLPA
- Leanna Nguyen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.