BLUEGRASS ID ASSOCIATED LLC

PALM BAY, FL
NPI1588402044
Entity TypeOrganization
Authorized ContactORIANA RAMIREZ
Medical Director
321-499-3077
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
Enumeration Date2024-07-18
Last Update Date2026-06-17
Business Address
BLUEGRASS ID ASSOCIATED LLC
5200 BABCOCK ST NE STE 303
PALM BAY, FL 32905-4648
Phone number: 321-499-3077
Mailing Address
BLUEGRASS ID ASSOCIATED LLC
5200 BABCOCK ST NE STE 303
PALM BAY, FL 32905-4648
Phone number: 321-499-3077