Organization · Type 2 NPI
The Blue Tree Cafe Limited Liability Co.
Meals Provider · Fort Lauderdale, FL
NPI number
1356162952
Active
Practice location
612 NW 9th Ave Ste A
Fort Lauderdale, FL 33311-7674
Mailing address
2701 Tarpon Dr
Miramar, FL 33023-4524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
| Local Education Agency (LEA) | 251300000X | None listed |
| Home Delivered Meals | 332U00000X | None listed |
| Medical Foods Supplier | 335G00000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Another provider at this address
About NPI 1356162952
The Blue Tree Cafe Limited Liability Co.'s National Provider Identifier is 1356162952, issued on Oct 17, 2024. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 17, 2024.