Organization
BLUE HORIZON MEDICAL CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DENISE BLUE DNP, APRN, ANP-C (CEO, OWNER)
(813) 899-9797
Entity
Organization
Contact information
Practice address
5101 E BUSCH BLVD STE 11, TAMPA, FL 33617-5380
(813) 899-9797
(813) 433-5553
Mailing address
30701 WRENCREST DR, WESLEY CHAPEL, FL 33543-7845
(813) 899-9797
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008854200
—
FL
Enumeration date
07/09/2015
Last updated
02/12/2025
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