| Bluegrass Id Associated Llc | |
|
Bluegrass Id Associated Llc 1848 Fox Ct Wellington FL 33414 | |
| (714) 944-8105 | |
| Not Available |
| Full Name | Bluegrass Id Associated Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | Bluegrass Id Associated Llc, Wellington, Florida |
| Authorized Official Name and Position | Gazala Khan (MANAGER) |
| Authorized Official Contact | 7149448105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Id Associated Llc Bluegrass Id Associates Llc 1848 Fox Ct Wellington FL 33414 Ph: () - | Bluegrass Id Associated Llc Bluegrass Id Associated Llc 1848 Fox Ct Wellington FL 33414 Ph: (714) 944-8105 |
| NPI Number | 1588402044 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588402044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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