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Organization
BLUESPRIG PEDIATRICS, INC
Active
Organization
BLUESPRIG PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKALISE MITCHELL (SENIOR CREDENTIALING SPECIALIST)
(281) 826-3382
Entity
Organization
Contact information
Practice address
6976 PROFESSIONAL PKWY, LAKEWOOD RANCH, FL 34240-8414
(941) 308-4641
Mailing address
6976 PROFESSIONAL PKWY, LAKEWOOD RANCH, FL 34240-8414
(941) 308-4641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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