Organization
BLUEHEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO DE SANTIS NOYA (OWNER)
(239) 443-7403
Entity
Organization
Contact information
Practice address
11390 PALM BEACH BLVD, FORT MYERS, FL 33905-5921
(239) 443-7403
Mailing address
11390 PALM BEACH BLVD, FORT MYERS, FL 33905-5921
(239) 443-7403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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