Organization
BLUFOX
Active
Other names
BluFox
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LAURA BLANCO APRN (DIRECTOR)
(305) 438-8789
Entity
Organization
Contact information
Practice address
1340 SW 102ND PL, MIAMI, FL 33174-2739
(305) 438-8789
Mailing address
1340 SW 102ND PL, MIAMI, FL 33174-2739
(305) 438-8789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590886323
FAMILY PRACTICE
FL
Enumeration date
05/14/2022
Last updated
05/14/2022
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