Bo WLMC LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BO WLMC LLC

Practice address

6100 Greenland Rd Ste 301
Jacksonville, FL 32258-2626

Phone

(904) 467-4431

Fax

(904) 615-9966

NPI assigned

May 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Iren Ortiz Ramirez, MDNPI 1295140846

Title

Owner

Phone

(904) 467-4431

Specialties & licenses 1

Addresses

Other names 1

• BO WLMC LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iren Ortiz Ramirez, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1295140846
  Medicare reassignment NPD Authorized official
• Jose Enrique Bird-Jimenez

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1871979732
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1073201638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582626",
            "telephone_number": "904-467-4431",
            "fax_number": "904-615-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582626",
            "telephone_number": "904-467-4431",
            "fax_number": "904-615-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BO WLMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "ORTIZ RAMIREZ",
        "authorized_official_first_name": "IREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-467-4431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BO WLMC LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly G Blumenthal, M.D.
• Renee Marie Bluml, MS, RD
• Danielle Blunt
• Kayla Bluteau
• Kimberly Nguyen Blythe, APRN
• Grayson Mackenzie Boala
• Adelina Georgina Boata
• Bernard Nana Adjei Boateng, MBA, DO, MS
• Martha Boateng
• Danielle Boatright Smiddy

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.