Organization
BLUEGRASS ID ASSOCIATED LLC
Active
Organization
BLUEGRASS ID ASSOCIATED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORIANA RAMIREZ MD (MEDICAL DIRECTOR)
(321) 499-3077
Entity
Organization
Contact information
Practice address
5200 BABCOCK ST NE STE 303, PALM BAY, FL 32905-4648
(321) 499-3077
(888) 440-8238
Mailing address
5200 BABCOCK ST NE STE 303, PALM BAY, FL 32905-4648
(321) 499-3077
(888) 440-8238
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
06/17/2026
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