Organization
SKYBLUE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARDO BASANTA (PRESIDENT)
(786) 444-4093
Entity
Organization
Contact information
Practice address
1 GLEN ROYAL PKWY, 302, MIAMI, FL 33125-5287
(786) 444-4093
Mailing address
1 GLENN ROYAL PKWY, 302, MIAMI, FL 33125-5287
(786) 444-4093
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
11/23/2009
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