BLUEGRASS ID ASSOCIATED LLC

WELLINGTON, FL
NPI1588402044
Entity TypeOrganization
Authorized ContactGAZALA KHAN
Manager
714-944-8105
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
Enumeration Date2024-07-18
Last Update Date2024-07-18
Business Address
BLUEGRASS ID ASSOCIATED LLC
BLUEGRASS ID ASSOCIATED LLC 1848 FOX CT
WELLINGTON, FL 33414
Phone number: 714-944-8105
Mailing Address
BLUEGRASS ID ASSOCIATED LLC
BLUEGRASS ID ASSOCIATES LLC 1848 FOX CT
WELLINGTON, FL 33414
Phone number:
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