BLACKSTONE HAND CENTER, LLC; NPI #1568869113

Contact Information

BLACKSTONE HAND CENTER, LLC

2010 WEST EAU GALLIE BLVD
SUITE 104
MELBOURNE, FL 32935

Phone: 305-609-7688
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hand Surgery	207XS0106X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for BLACKSTONE HAND CENTER, LLC

NPI Number 1568869113

LBN Legal business name BLACKSTONE HAND CENTER, LLC

Authorized official KYLE MOYLES - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/25/2014

Last updated 10/21/2021 - About 5 years ago

Identifiers

License #

ME113873

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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