Organization
BLUE ROSE MEDICAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFRANIA ECHEMENDIA (OWNER/PRESIDENT)
(305) 842-8312
Entity
Organization
Contact information
Practice address
1399 NW 17TH AVE STE 301, MIAMI, FL 33125-2334
(305) 842-8312
Mailing address
1399 NW 17TH AVE STE 301, MIAMI, FL 33125-2334
(305) 842-8312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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