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Organization
BLUE LAKE HEALTH ALABAMA, LLC
Active
Organization
BLUE LAKE HEALTH ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PATRICK JR. (CEO)
(205) 977-1949
Entity
Organization
Contact information
Practice address
103 HELTON CT, FLORENCE, AL 35630-1464
(256) 760-0672
Mailing address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
(205) 977-1933
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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