Organization
BLUESTONE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDANA HOLLEN MD (CO-FOUNDER)
(877) 422-9355
Entity
Organization
Contact information
Practice address
5664 BEE RIDGE RD STE 203, SARASOTA, FL 34233-1504
(877) 422-9355
(877) 422-9355
Mailing address
5664 BEE RIDGE RD STE 203, SARASOTA, FL 34233-1504
(877) 422-9355
(877) 422-9355
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528493400
1528493400
NC
Enumeration date
01/09/2021
Last updated
01/09/2021
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