# BLUE LIFE MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1528537693
- **Authorized official:** FELIX M MIGUEZ (PRESIDENT)
- **Authorized official phone:** (954) 404-8308

## Contact information

- **Practice address:** 6272 MIRAMAR PKWY, MIRAMAR, FL 33023-3942
- **Practice address phone:** (954) 404-8308
- **Practice address fax:** (954) 404-8287
- **Mailing address:** 6272 MIRAMAR PKWY, MIRAMAR, FL 33023-3942
- **Mailing address phone:** (954) 404-8308
- **Mailing address fax:** (954) 404-8287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 06/17/2020