Blue Lion Medical
Blue Lion Medical is a Surgical Physician Assistant in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
Practice location Address checks out
3600 Washington StHollywood, FL 33021-8216
Phone: (954) 773-5744
Fax: (954) 962-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA9101635 (FL) |
|---|
Record details
| NPI number | 1790087856 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeana Heinz — Managing Director · (954) 557-4140 |
| NPI enumerated | November 23, 2010 |
| Last updated in NPPES | November 23, 2010 |
| Mailing address | Po Box 814479, Hollywood, FL 33081-4479 |
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