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

Indiblu Management LLC

Organization Exclusive Provider Organization · NPI 1891496667

Indiblu Management LLC is an Exclusive Provider Organization in Davie, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1425 SW 110th Way
Davie, FL 33324-7185
Phone: (954) 445-9806
Fax: (954) 337-8265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1891496667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucinda Blunt — Executive Director · (754) 224-9333
NPI enumeratedMarch 16, 2023
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address1425 Sw 110th Way, Davie, FL 33324-7185

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