Bluestone VBC FL LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUESTONE VBC FL LLC

Practice address

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727

Phone

(813) 259-1013

Fax

(813) 254-0396

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Rajiv Patel, MD

Title

Ceo

Phone

(314) 852-9479

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1346026184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAIN ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826788",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109727",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE VBC FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-852-9479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Blue
• Sharon Denise Blue, A.R.N.P.-C
• Bluebird Therapy Center, LLC
• Jennifer Bailey Blues, DPT
• Bluestone Physician Services Southeast LLC
• Betsy Karen Blum, LCMHC
• Jessica Blunt
• Steven M Blustein, D.P.M.
• Jennifer Bly
• Danielle Blyden, LCSW

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.