Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1043090780 |
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| LBN Legal business name | BLUEZONE MEDICAL LLC | ||||
| Authorized official | ANDREW FRANCE - (CO-OWNER/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/02/2023 | ||||
| Last updated | 10/02/2023 - About 3 years ago | ||||
| Identifiers |
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BLUEZONE MEDICAL LLC
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