BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC NPI 1346212370

NPI Information

  • NPI: 1346212370
  • Provider Name: BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: BLUESTONE PHYSICIAN SERVICES FLORIDA, LLC
  • Address: 10150 HIGHLAND MANOR DR STE 205
    TAMPA, FL
    ZIP 33610
  • Phone: (813) 259-1013

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NPI Details

BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC NPI is 1346212370. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Bluestone Physician Services Florida, Llc.

The provider's business location address is:

10150 HIGHLAND MANOR DR STE 205
TAMPA, FL
ZIP 33610-727
Phone: (813) 259-1013
Fax: (813) 254-0396

The provider's authorized official is Diana Bernard .
The authorized official title is Office Manager and has the following contact phone number (813) 259-1013.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 2/7/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1015006200MEDICAIDFLORIDA
234388OTHERFLORIDABC/BS
3CK5239OTHERFLORIDARAILROAD MEDICARE

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: 11/21/2025

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