Organization
BLUE BRIDGE COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO PALMAS (OWNER)
(786) 280-0405
Entity
Organization
Contact information
Practice address
12535 NEW BRITTANY BLVD STE 2817, FORT MYERS, FL 33907-3625
(786) 280-0405
Mailing address
12535 NEW BRITTANY BLVD STE 2817, FORT MYERS, FL 33907-3625
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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