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Organization
THE BLUE TREE CAFE LIMITED LIABILITY CO.
Active
Organization
THE BLUE TREE CAFE LIMITED LIABILITY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ALLEN MS. (OWNER)
(786) 239-9131
Entity
Organization
Contact information
Practice address
612 NW 9TH AVE STE A, FT LAUDERDALE, FL 33311-7674
(786) 239-9131
Mailing address
2701 TARPON DR, MIRAMAR, FL 33023-4524
(786) 239-9131
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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