Florida Blue Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FLORIDA BLUE MEDICAL CENTER INC

Practice address

8060 NW 155TH St
Suite 202
Miami Lakes, FL 33016-5883

Phone

(305) 819-2439

Fax

(305) 819-2139

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Elyam Munoz

Title

Administrator

Phone

(305) 819-2439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1922428523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 NW 155TH ST",
            "address_2": "SUITE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165883",
            "telephone_number": "305-819-2439",
            "fax_number": "305-819-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 NW 155TH ST",
            "address_2": "SUITE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165883",
            "telephone_number": "305-819-2439",
            "fax_number": "305-819-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BLUE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ELYAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-819-2439"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.