THE BLUE TREE CAFE LIMITED LIABILITY CO. NPI 1356162952

NPI Information

  • NPI: 1356162952
  • Provider Name: THE BLUE TREE CAFE LIMITED LIABILITY CO.
  • Classification: Meals - 174200000X
  • Entity Type: Organization
  • Address: 612 NW 9TH AVE STE A
    FT LAUDERDALE, FL
    ZIP 33311
  • Phone: (786) 239-9131

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NPI Details

THE BLUE TREE CAFE LIMITED LIABILITY CO. is a meals in Ft Lauderdale, FL. The provider is a public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. THE BLUE TREE CAFE LIMITED LIABILITY CO. NPI is 1356162952. The provider is registered as an organization entity type.

The provider's business location address is:

612 NW 9TH AVE STE A
FT LAUDERDALE, FL
ZIP 33311-674
Phone: (786) 239-9131

The provider's authorized official is Sharon Allen .
The authorized official title is Owner and has the following contact phone number (786) 239-9131.

The enumeration date for this NPI number is 10/17/2024 and was last updated on 10/17/2024.

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
1174200000XMealsYes
2251300000XLocal Education Agency (LEA)No
3332U00000XHome Delivered MealsNo
4335G00000XMedical Foods SupplierNo

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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