Organization
BLACKFIN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD GEORGE PETERS (CEO)
(561) 331-0808
Entity
Organization
Contact information
Practice address
6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
(561) 331-0808
(561) 237-6034
Mailing address
6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
(561) 331-0808
(561) 331-5263
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
03/27/2020
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