BL Medical Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC11480 Issued in FL

Legal business name

BL MEDICAL CENTER, INC

Practice address

9050 Pines Blvd Ste 363
Pembroke Pines, FL 33024

Phone

(954) 639-7738

Fax

(954) 639-7735

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Luis G Fernandez

Title

Ceo

Phone

(954) 639-7738

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1467943126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 363",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246400",
            "telephone_number": "954-639-7738",
            "fax_number": "954-639-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 363",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-639-7738",
            "fax_number": "954-639-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-639-7738"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC11480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Bishop, PT
• Donna Sivan Bishri, MSW
• Aysheh Bitar, BCBA
• Bite Pediatric Dentistry Pembroke Pines LLC
• BJ's Wholesale Club Inc.
• Taylor N Black-Araiza, PT, DPT
• Robin Nicole Blackman
• Blair Regional Home Health Services LLC
• Blair Regional Home Services LLC
• Zizah-Wosseni Jahmila Blair

• Multi-Specialty Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.