Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Lake Medical Center, Inc

Organization Clinic/Center · NPI 1114512670

Blue Lake Medical Center, Inc is a Clinic/Center in Hialeah, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2360 W 68th St Ste 122
Hialeah, FL 33016-5502
Phone: (305) 200-5705
Fax: (305) 392-1217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1114512670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Garcia — Credentialing Director · (305) 606-0337
NPI enumeratedMarch 7, 2021
Last updated in NPPESMarch 7, 2021
Certification dateMarch 7, 2021
Mailing address2360 W 68th St Ste 122, Hialeah, FL 33016-5502

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