# BLUE LAKE HEALTH ALABAMA, LLC

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

## Provider details

- **NPI number:** 1376266726
- **Authorized official:** ROBERT PATRICK JR. (CEO)
- **Authorized official phone:** (205) 977-1949

## Contact information

- **Practice address:** 103 HELTON CT, FLORENCE, AL 35630-1464
- **Practice address phone:** (256) 760-0672
- **Mailing address:** 3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
- **Mailing address phone:** (205) 977-1949
- **Mailing address fax:** (205) 977-1933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2022
- **Last updated:** 09/21/2022