Bluestone Physician Services Southeast Llc in Tampa - General Practice

Bluestone Physician Services Southeast Llc - NPI 1346212370

Bluestone Physician Services Southeast Llc is a General Practice in Tampa, Florida. Bluestone Physician Services Southeast Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bluestone Physician Services Southeast Llc is 1346212370. The last update date is 2023-09-27.

Bluestone Physician Services Southeast Llc's current location address is 10150 Highland Manor Dr Ste 205, Tampa, Florida. You can contact this provider via phone number 8132591013 and fax number 8132540396. The mailing address for Bluestone Physician Services Southeast Llc is 10150 Highland Manor Dr Ste 205, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bluestone Physician Services Southeast Llc
Address 10150 Highland Manor Dr Ste 205, Tampa, Florida
Phone Number 8132591013
Fax Number 8132540396
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Bernard Diana
Telephone Number 8132591013

NPI Number Detail

NPI Number 1346212370
Provider Enumeration Date 2006-02-03
Last Updated Date 2023-09-27

Provider Mailing Address Detail

Address 10150 Highland Manor Dr Ste 205
City Tampa
State Florida (FL)
Post Code 336109727
Phone Number 8132591013
Fax Number 8132540396

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 5374
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CK5239 FL RAILROAD MEDICARE
34388 FL BC/BS
15006200 FL --

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FAQs about Bluestone Physician Services Southeast Llc

What is the Bluestone Physician Services Southeast Llc's unique identification number?

The Bluestone Physician Services Southeast Llc has been assigned the NPI (National Provider Identifier) Number 1346212370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Bluestone Physician Services Southeast Llc is geographically located?

The Bluestone Physician Services Southeast Llc is physically situated at the following location: 10150 Highland Manor Dr Ste 205, Tampa, FL, 336109727.

What is the Bluestone Physician Services Southeast Llc's area of specialization and corresponding taxonomy classification?

The Bluestone Physician Services Southeast Llc's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1346212370 to Bluestone Physician Services Southeast Llc?

The Bluestone Physician Services Southeast Llc received its 1346212370 assignment from the Centers for Medicare & Medicaid Services on 2006-02-03.

When was the information pertaining to Bluestone Physician Services Southeast Llc most recently updated or revised?

The details related to Bluestone Physician Services Southeast Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-09-27.

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