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Organization

BLUESTONE PHYSICIAN SERVICES SOUTHEAST LLC

Active
Other names
BLUESTONE PHYSICIAN SERVICES FLORIDA, LLC, Bluestone
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA BERNARD I (OFFICE MANAGER)
(813) 259-1013
Entity
Organization

Contact information

Practice address
10150 HIGHLAND MANOR DR STE 205, TAMPA, FL 33610-9727
(813) 259-1013
(813) 254-0396
Mailing address
10150 HIGHLAND MANOR DR STE 205, TAMPA, FL 33610-9727
(813) 259-1013
(813) 254-0396

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015006200
FL
01
34388
BC/BS
FL
01
CK5239
RAILROAD MEDICARE
FL
Enumeration date
02/03/2006
Last updated
04/30/2026
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