Organization
BLUE LIFE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX M MIGUEZ (PRESIDENT)
(954) 404-8308
Entity
Organization
Contact information
Practice address
6272 MIRAMAR PKWY, MIRAMAR, FL 33023-3942
(954) 404-8308
(954) 404-8287
Mailing address
6272 MIRAMAR PKWY, MIRAMAR, FL 33023-3942
(954) 404-8308
(954) 404-8287
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
06/17/2020
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