Organization
GOLD BLUE MULTISERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISBELY REGLA PLACENCIA ERCIA (OWNER)
(786) 443-1477
Entity
Organization
Contact information
Practice address
1900 SW 8TH ST APT E510, MIAMI, FL 33135-3364
(786) 443-1477
Mailing address
1900 SW 8TH ST APT E510, MIAMI, FL 33135-3364
(786) 443-1477
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239667
AHCA
FL
Enumeration date
10/17/2023
Last updated
10/17/2023
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