| Blue Clinical Center Llc | |
|
6300 Corporate Ct Fort Myers FL 33919-3513 | |
| (786) 803-8517 | |
| Not Available |
| Full Name | Blue Clinical Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6300 Corporate Ct, Fort Myers, Florida |
| Authorized Official Name and Position | Alexandra Codecido (OWNER) |
| Authorized Official Contact | 7866632822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Clinical Center Llc 6300 Corporate Ct Fort Myers FL 33919-3513 Ph: () - | Blue Clinical Center Llc 6300 Corporate Ct Fort Myers FL 33919-3513 Ph: (786) 803-8517 |
| NPI Number | 1417774597 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417774597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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