| Blue Stone Wellness Llc | |
|
7710 Nw 71st Court, Tamarac, Fl 33321 Suite 305 Tamarac FL 33321 | |
| (754) 205-7619 | |
| Not Available |
| Full Name | Blue Stone Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7710 Nw 71st Court, Tamarac, Fl 33321, Tamarac, Florida |
| Authorized Official Name and Position | Jaime K. Blaustein (CEO) |
| Authorized Official Contact | 2017040929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Stone Wellness Llc 7710 Nw 71st Court, Tamarac, Fl 33321 Suite 101 Tamarac FL 33321 Ph: (754) 205-7619 | Blue Stone Wellness Llc 7710 Nw 71st Court, Tamarac, Fl 33321 Suite 305 Tamarac FL 33321 Ph: (754) 205-7619 |
| NPI Number | 1306577960 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306577960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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