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Blue Zone Legacy Inc
Family Nurse Practitioner in Plantation, Florida
NPI 1700655651

Blue Zone Legacy Inc is a Family Nurse Practitioner based in Plantation, FL and is specialized in Family. Blue Zone Legacy Inc practices in Plantation, FL. The NPI Number for Blue Zone Legacy Inc is 1700655651 and holds a License No. (Florida).

The current practice location address for Blue Zone Legacy Inc is 404 Nw 68Th Ave Apt 406, Plantation, FL and can be reached out via phone at 954-832-2651.

Location: 404 Nw 68Th Ave Apt 406, Plantation, FL, 33317-7596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700655651
Provider Name
Blue Zone Legacy Inc
Credential
Provider Entity Type
Organization
Address
404 Nw 68Th Ave Apt 406, Plantation, FL, 33317-7596
Phone Number
954-832-2651
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
404 Nw 68Th Ave Apt 406
City
Plantation
State
Florida
Zip
33317-7596
Phone Number
954-832-2651
Fax Number
person
Provider Business Mailing Address Details
Address
404 Nw 68Th Ave Apt 406
City
Plantation
State
Florida
Zip
33317-7596
Phone Number
954-832-2651
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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