| Bluesprig Pediatrics, Inc | |
|
6976 Professional Pkwy Lakewood Ranch FL 34240-8414 | |
| (941) 308-4641 | |
| Not Available |
| Full Name | Bluesprig Pediatrics, Inc |
|---|---|
| Speciality | Behavior Technician |
| Location | 6976 Professional Pkwy, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Markalise Mitchell (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2818263382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluesprig Pediatrics, Inc 6976 Professional Pkwy Lakewood Ranch FL 34240-8414 Ph: (941) 308-4641 | Bluesprig Pediatrics, Inc 6976 Professional Pkwy Lakewood Ranch FL 34240-8414 Ph: (941) 308-4641 |
| NPI Number | 1669329728 |
|---|---|
| Provider Enumeration Date | 03/16/2026 |
| Last Update Date | 03/16/2026 |
| Certification Date | 03/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669329728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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