Bless Medical Center Hollywood LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLESS MEDICAL CENTER HOLLYWOOD LLC

Practice address

6448 Pembroke Rd
Miramar, FL 33023-2138

Phone

(954) 864-6401

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Osvaldo S Martinez

Title

Coo

Phone

(954) 864-6401

Specialties & licenses 1

Addresses

Other names 1

• NONE Other name

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1104436948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644444",
            "telephone_number": "954-864-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232138",
            "telephone_number": "954-864-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESS MEDICAL CENTER HOLLYWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-864-6401"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shieka Blake, OTR/L
• Carlos Alberto Blanco, MD
• Keily Blanco, PHARM D.
• BLC Therapeutic Resources
• BLC Therapeutic Resources II , Inc
• Bless the Lord Inc
• BLN
• Aaron Blom, DO MBA
• Blooming Behavioral Health Inc
• Blooming Behavioral Health Inc

• Primary Care Clinic/Center in Miramar, FL
• Providers in Miramar, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.