Organization
BLUE MEDICAL SPA & RESEARCH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIROLYS LORENZO APRN (OWNER)
(786) 479-9599
Entity
Organization
Contact information
Practice address
330 SW 27TH AVE STE 609, MIAMI, FL 33135-2968
(786) 479-9599
(786) 953-6001
Mailing address
330 SW 27TH AVE STE 609, MIAMI, FL 33135-2968
(786) 479-9599
(786) 953-6001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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