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

Bluelakephysician Group

Organization Sports Physical Therapist · NPI 1679236566

Bluelakephysician Group is a Sports Physical Therapist in Coral Gables, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

4800 W Flagler St Ste 212
Coral Gables, FL 33134-1401
Phone: (786) 703-3195
Fax: (786) 703-3195
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Sports Physical Therapist Taxonomy 2251S0007X

Record details

NPI number1679236566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevine Albert — Medical Director · (916) 225-6888
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address4800 W Flagler St Ste 212, Coral Gables, FL 33134-1401

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