Bluelakephysician Group is a
Clinic/center based in Coral Gables, Florida. Bluelakephysician Group is licensed to practice in * (Not Available) (license number ) and their current practice location is
4800 W Flagler St Ste 212, Coral Gables, Florida. It can be reached at their office (for appointments etc.) via phone at
(786) 703-3195.
NPI number for Bluelakephysician Group is 1679236566 and their current mailing address is 4800 W Flagler St Ste 212, Coral Gables, Florida. Bluelakephysician Group
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679236566.
Healthcare Provider's Profile
| Full Name | Bluelakephysician Group |
|---|
| Type | Facility |
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| Speciality | Clinic/center |
|---|
| Location | 4800 W Flagler St Ste 212, Coral Gables, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679236566
- Provider Enumeration Date: 10/18/2021
- Last Update Date: 10/18/2021
Medical Identifiers
Medical identifiers for Bluelakephysician Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679236566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bluelakephysician Group is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bluelakephysician Group
4800 W Flagler St Ste 212,
Coral Gables, FL 33134-1401
Ph: (786) 703-3195 | Bluelakephysician Group
4800 W Flagler St Ste 212,
Coral Gables, FL 33134-1401
Ph: (786) 703-3195 |
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