# BLUE HORIZON MEDICAL CLINIC L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235512138
- **Authorized official:** MRS. SHARON DENISE BLUE DNP, APRN, ANP-C (CEO, OWNER)
- **Authorized official phone:** (813) 899-9797

## Contact information

- **Practice address:** 5101 E BUSCH BLVD STE 11, TAMPA, FL 33617-5380
- **Practice address phone:** (813) 899-9797
- **Practice address fax:** (813) 433-5553
- **Mailing address:** 30701 WRENCREST DR, WESLEY CHAPEL, FL 33543-7845
- **Mailing address phone:** (813) 899-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 02/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008854200 | — | FL |