| Bluefire Wellness Llc | |
|
870 Clark St Suite 1030 Oviedo FL 32765-9270 | |
| (407) 393-5435 | |
| Not Available |
| Full Name | Bluefire Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 870 Clark St, Oviedo, Florida |
| Authorized Official Name and Position | Ute Krantz (OWNER) |
| Authorized Official Contact | 4073935435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluefire Wellness Llc 870 Clark St Suite 1030 Oviedo FL 32765-9270 Ph: (407) 393-5435 | Bluefire Wellness Llc 870 Clark St Suite 1030 Oviedo FL 32765-9270 Ph: (407) 393-5435 |
| NPI Number | 1972979680 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972979680 | NPI | - | NPPES |
| Z07CP | Other | FL | NEW DIRECTIONS, FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMH13015 (Florida) | Primary |
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