Organization
360 BLUE FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA BLUE DNP, APRN, FNP-BC, (EMPLOYEE)
(850) 319-7345
Entity
Organization
Contact information
Practice address
949 JENKS AVE STE 6, PANAMA CITY, FL 32401-2584
(904) 853-0809
Mailing address
949 JENKS AVE STE 6, PANAMA CITY, FL 32401-2584
(904) 853-0809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/16/2023
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