Organization
BMP HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY BUCKLEY (APRN)
(812) 887-9310
Entity
Organization
Contact information
Practice address
5401 SAWYER RD, SARASOTA, FL 34233-2444
(812) 887-9310
Mailing address
2100 DOUD ST LOT 100, SARASOTA, FL 34231-6863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WTFMF
BCBS
—
Enumeration date
11/07/2019
Last updated
11/07/2019
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