Organization
BLUE PARADISE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO C BRITO MIRANDA (PRESIDENT)
(786) 488-8909
Entity
Organization
Contact information
Practice address
5941 NW 173RD DR UNIT B6, HIALEAH, FL 33015-5109
(786) 360-4328
(786) 409-7369
Mailing address
5941 NW 173RD DR UNIT B6, HIALEAH, FL 33015-5109
(786) 360-4328
(786) 409-7369
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
01/23/2024
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