Blue Bridge Community LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE BRIDGE COMMUNITY LLC

Practice address

12535 New Brittany Blvd Ste 2817
Fort Myers, FL 33907-3625

Phone

(786) 280-0405

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Gilberto Palmas

Title

Owner

Phone

(786) 280-0405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1346028875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12535 NEW BRITTANY BLVD STE 2817",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12535 NEW BRITTANY BLVD STE 2817",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073625",
            "telephone_number": "786-280-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BRIDGE COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "PALMAS",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-280-0405"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.