Organization
BL MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS G FERNANDEZ (CEO)
(954) 639-7738
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 363, PEMBROKE PINES, FL 33024
(954) 639-7738
(954) 639-7735
Mailing address
9050 PINES BLVD STE 363, PEMBROKE PINES, FL 33024-6400
(954) 639-7738
(954) 639-7735
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC11480
FL
Other
Enumeration date
05/29/2018
Last updated
08/29/2018
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