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1114512670
BLUE LAKE MEDICAL CENTER, INC.
HIALEAH, FL
NPI
1114512670
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Entity Type
Organization
Authorized Contact
JORGE GARCIA
Credentialing Director
305-606-0337
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2021-03-07
Last Update Date
2021-03-07
Business Address
BLUE LAKE MEDICAL CENTER, INC.
2360 W 68TH ST STE 122
HIALEAH, FL 33016-5502
Phone number: 305-200-5705
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Mailing Address
BLUE LAKE MEDICAL CENTER, INC.
2360 W 68TH ST STE 122
HIALEAH, FL 33016-5502
Phone number: 305-200-5705
Copy
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