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

Blueshine Medical Center LLC

Organization General Practice Physician · NPI 1053138099

Blueshine Medical Center LLC is a General Practice Physician in Cape Coral, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 Santa Barbara Blvd Ste 121
Cape Coral, FL 33991-2160
Phone: (305) 790-6544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053138099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Cevallos — Provider · (305) 790-6544
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 22, 2024
Mailing address205 Nw 15th Pl, Cape Coral, FL 33993-7747

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