| Bluefish Lake Inpatient Services Llc | |
|
700 Medical Blvd Englewood FL 34223-3964 | |
| (973) 251-1132 | |
| Not Available |
| Full Name | Bluefish Lake Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Medical Blvd, Englewood, Florida |
| Authorized Official Name and Position | Kathleen Kondas (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluefish Lake Inpatient Services Llc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (973) 251-1132 | Bluefish Lake Inpatient Services Llc 700 Medical Blvd Englewood FL 34223-3964 Ph: (973) 251-1132 |
| NPI Number | 1588073415 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588073415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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