Organization
BLESS MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL SANCHEZ (PRESIDENT)
(305) 798-9263
Entity
Organization
Contact information
Practice address
440 E SAMPLE ROAD SUITE 107, POMPANO BEACH, FL 33064
(954) 918-4533
Mailing address
4000 N 37 AVE, HOLLYWOOD, FL 33021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC12298
AHCA
FL
Enumeration date
01/23/2019
Last updated
01/23/2019
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