Bluestone Physician Services Florida, Llc

LBN: Bluestone Physician Services Southeast Llc
Bluestone Physician Services Florida, Llc is an health care organization with primary practice located at 10150 Highland Manor Dr Ste 205 , Tampa FL 33610-9727. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bluestone Physician Services Southeast Llc can be contacted via phone (813) 259-1013, or through Bernard, Diana via phone (813) 259-1013.

Contact Information

Primary practice address
10150 Highland Manor Dr Ste 205 Tampa FL 33610-9727
Fax: (813) 254-0396
Website:
Authorized official contact:
Name: Bernard, Diana

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1346212370
LBN Legal business name Bluestone Physician Services Southeast Llc
DBA Doing business as Bluestone Physician Services Florida, Llc
Authorized official Bernard, Diana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 7th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346212370 NPPES
Florida MEDICAID 015006200
Florida Other 34388
Florida Other CK5239

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