Active NPI
Blo 7 Diabetes Institute Inc
- Diabetes Educator Registered Nurse
- Port St. Lucie, FL
National Provider Identifier
1548756661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- Legal business name
- BLO 7 DIABETES INSTITUTE INC
- Practice address
- 1700 SW Hillmoor Dr.
Suite 305
Port St. Lucie, FL 34952 - Phone
- (772) 486-3812
- NPI assigned
- Jul 2, 2018
- Organization subpart
- Yes
- Parent organization
- SPRX PHARMACY SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vandana Shah
- Title
- Ceo
- Phone
- (772) 486-3812
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | Primary | ||
| Health Educator | 174H00000X |
Addresses
Primary practice location
1700 SW Hillmoor Dr.
Suite 305
Port St. Lucie, FL 34952
Mailing address
9858 Clint Moore Rd Ste C111-131
Boca Raton, FL 33496-1034
Phone (772) 486-3812
National Provider Directory
National Provider DirectoryLocations
9858 Clint Moore Rd
Ste C111131
Boca Raton, FL 33496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530489600000",
"number": "1548756661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9858 CLINT MOORE RD STE C111-131",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961034",
"telephone_number": "772-486-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SW HILLMOOR DR.",
"address_2": "SUITE 305",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-486-3812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLO 7 DIABETES INSTITUTE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPRX PHARMACY SERVICES INC",
"enumeration_date": "2018-07-02",
"last_updated": "2018-07-02",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "VANDANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-486-3812"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St. Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.