Bluelakephysician Group

LBN: Bluelakephysician Group
Bluelakephysician Group is an health care organization with primary practice located at 4800 W Flagler St Ste 212 , Coral Gables FL 33134-1401. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Bluelakephysician Group can be contacted via phone (786) 703-3195, or through Albert, Trevine Roshan via phone (916) 225-6888.

Contact Information

Primary practice address
4800 W Flagler St Ste 212 Coral Gables FL 33134-1401
Phone: (786) 703-3195
Fax: (786) 703-3195
Website:
Map and Directions
Authorized official contact:
Name: Albert, Trevine Roshan OS14935
Phone: (916) 225-6888

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1679236566
LBN Legal business name Bluelakephysician Group
DBA Doing business as
Authorized official Albert, Trevine Roshan OS14935
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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