Organization
BLUE MOON MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YARIANA SANCHEZ (OWNER)
(786) 300-9963
Entity
Organization
Contact information
Practice address
7715 NW 48TH ST STE 360B, DORAL, FL 33166-5455
(786) 300-9963
(852) 036-6553
Mailing address
7715 NW 48TH ST STE 360B, DORAL, FL 33166-5455
(786) 300-9963
(852) 036-6553
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
08/18/2022
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