Organization · Type 2 NPI

Bluelakephysician Group

Clinic/Center · Coral Gables, FL

NPI number 1679236566 Active

Practice location

4800 W Flagler St Ste 212
Coral Gables, FL 33134-1401

Call (786) 703-3195 Map

Fax (786) 703-3195

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist 2251S0007XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1679236566

Bluelakephysician Group's National Provider Identifier is 1679236566, issued on Oct 18, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Coral Gables, FL. The record was last updated on Oct 18, 2021.