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Organization
BLUELIGHT MEDICAL GROUP LLC
Active
Organization
BLUELIGHT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAR R CHRISTIAN (PRESIDENT)
(321) 244-2885
Entity
Organization
Contact information
Practice address
6220 S ORANGE BLOSSOM TRL STE 110, ORLANDO, FL 32809-4677
(321) 244-2885
(321) 445-5363
Mailing address
6220 S ORANGE BLOSSOM TRL STE 110, ORLANDO, FL 32809-4677
(321) 244-2885
(321) 445-5363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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