NPI | 1083456446 |
---|---|
Doing Business As | BLUHAVEN HEALTH |
Entity Type | Organization |
Authorized Contact | CHARLIE FRYE Director 984-370-2350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Y00000X Otolaryngology |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-06-07 |
Last Update Date | 2024-10-29 |