| Bluebird Care Physicians Llc | |
|
1936 Dairy Rd West Melbourne FL 32904-4046 | |
| (321) 821-4041 | |
| (321) 821-4044 |
| Full Name | Bluebird Care Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1936 Dairy Rd, West Melbourne, Florida |
| Authorized Official Name and Position | Ronald Mendez (OWNER) |
| Authorized Official Contact | 3473300291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Care Physicians Llc 1936 Dairy Rd West Melbourne FL 32904-4046 Ph: (321) 821-4041 | Bluebird Care Physicians Llc 1936 Dairy Rd West Melbourne FL 32904-4046 Ph: (321) 821-4041 |
| NPI Number | 1659144251 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 0547618415 |
|---|---|
| Medicare Enrollment ID | O20231204000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659144251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald Zashary Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265958326 PECOS PAC ID: 8921402272 Enrollment ID: I20210809001284 |
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