Blue, Mary C
Blue, Mary C is an individual health care provider with primary practice located at 1620 Medical Ln Suite 100, Ft Myers FL 33907-1143. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Medical Microbiology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Blue, Mary C can be contacted via phone (239) 939-2305.Contact Information
Primary practice address
1620 Medical Ln Suite 100
Ft Myers FL 33907-1143
Phone: (239) 939-2305
Fax: (239) 939-0947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME47480 | Florida |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ME47480 | Florida |
| Allopathic & Osteopathic Physicians / Medical Microbiology | 207ZM0300X | ME47480 | Florida |
Profile Details
| NPI number | 1093794851 |
|---|---|
| LBN Legal business name | Blue, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Apr 23rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093794851 | NPPES |
| Florida | MEDICAID | 374110900 |
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