| NPI | 1346212370 |
|---|---|
| Former Legal Business Name | BLUESTONE PHYSICIAN SERVICES FLORIDA, LLC |
| Entity Type | Organization |
| Authorized Contact | DIANA BERNARD Office Manager 813-259-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-02-07 |