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BLUE MEDICAL NETWORK INC NPI 1255446902


NPI Information

NPI: 1255446902
Provider Name: BLUE MEDICAL NETWORK INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
330 SW 27TH AVE
SUITE 703
MIAMI, FL
ZIP 33135
Phone: (305) 646-6722
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BLUE MEDICAL NETWORK INC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BLUE MEDICAL NETWORK INC NPI is 1255446902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

330 SW 27TH AVE
SUITE 703
MIAMI, FL
ZIP 33135-961
Phone: (305) 646-6722
Fax: (305) 646-6723

The provider's authorized official is Rolando Valdes .
The authorized official title is President and has the following contact phone number (305) 444-2651.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 4/22/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K7330MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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