Organization · Type 2 NPI
Florida Blue Star Inc
Primary Care Nurse Practitioner · Cape Coral, FL
NPI number
1053993550
Active
Practice location
1325 SE 47th St Ste I
Cape Coral, FL 33904-9669
Fax (239) 310-5287
Mailing address
1525 SE 5th Ct
Cape Coral, FL 33990-2019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Cape Coral
About NPI 1053993550
Florida Blue Star Inc's National Provider Identifier is 1053993550, issued on Apr 23, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cape Coral, FL. The record was last updated on Apr 23, 2021.