Organization
BLUEBIRD MEDICAL & WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MOYER PHARM.D. (PRESIDENT)
(904) 600-4099
Entity
Organization
Contact information
Practice address
145 HILDEN RD STE 102, PONTE VEDRA, FL 32081-8401
(904) 600-4099
(904) 484-7919
Mailing address
145 HILDEN RD STE 102, PONTE VEDRA, FL 32081-8401
(904) 600-4099
(904) 484-7919
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
1835P2201X
Ambulatory Care Pharmacist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/21/2021
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