Blueshine Medical Center LLC
NPI #1053138099 in Cape Coral, Florida
Provider Information
- NPI Number
- 1053138099
- Entity Type
- Organization
- Organization Name
- Blueshine Medical Center LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 23, 2024
- Last Updated
- Sep 23, 2024
Practice Location
- Address
- 140 SANTA BARBARA BLVD STE 121
- City
- Cape Coral
- State
- Florida
- ZIP Code
- 33991-2160
- Phone
- (305) 790-6544
Authorized Official
- Name
- DR. JOSE GUSTAVO CEVALLOS, MD
- Title
- PROVIDER
- Phone
- (305) 790-6544
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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