Blue Lagoon Medical Center Inc
Blue Lagoon Medical Center Inc is a Family Medicine Physician in Hialeah, Florida. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4355 W 16th Ave Ste 211AHialeah, FL 33012-7670
Phone: (786) 304-9107
Fax: (786) 364-0230
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1083097281 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricardo Montpeller Acosta — President · (786) 304-9107 |
| NPI enumerated | July 7, 2015 |
| Last updated in NPPES | July 8, 2015 |
| Mailing address | 4355 W 16th Ave Ste 211a, Hialeah, FL 33012-7670 |
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