BLUE HORIZON MEDICAL CLINIC L.L.C. NPI 1235512138

NPI Information

BLUE HORIZON MEDICAL CLINIC L.L.C. is a primary care nurse practitioner in Tampa, FL. BLUE HORIZON MEDICAL CLINIC L.L.C. NPI is 1235512138. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5101 E BUSCH BLVD
STE 11
TAMPA, FL
ZIP 33617-380
Phone: (813) 808-2337

The provider's authorized official is Sharon Denise Blue .
The authorized official title is Arnp-c, Msn and has the following contact phone number (813) 808-2337.

The CLIA number assigned to this NPI record is 10D2235566 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 8/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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