| Westcare Miami - Blue Lagoon | |
|
5200 Blue Lagoon Dr Ste 445 Miami FL 33126-7006 | |
| (305) 696-0738 | |
| Not Available |
| Full Name | Westcare Miami - Blue Lagoon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5200 Blue Lagoon Dr Ste 445, Miami, Florida |
| Authorized Official Name and Position | Danny Blanco (DIRECTOR) |
| Authorized Official Contact | 3056960738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westcare Miami - Blue Lagoon Po Box 94738 Las Vegas NV 89193-4738 Ph: (702) 385-2090 | Westcare Miami - Blue Lagoon 5200 Blue Lagoon Dr Ste 445 Miami FL 33126-7006 Ph: (305) 696-0738 |
| NPI Number | 1023606563 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023606563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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