Organization
PROFESSIONAL MEDICAL RESEARCH LLC
Active
Other names
BLUE PEARL WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
ARIADNA GONZALEZ (OFFICER)
(954) 251-3454
Entity
Organization
Contact information
Practice address
4101 RAVENSWOOD RD STE 202, FORT LAUDERDALE, FL 33312-5301
(954) 251-3454
(954) 251-3474
Mailing address
4101 RAVENSWOOD RD STE 202, FORT LAUDERDALE, FL 33312-5301
(954) 251-3454
(954) 251-3474
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
05/03/2024
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