360 BLUE FAMILY MEDICAL LLC; NPI #1487439394

Contact Information

360 BLUE FAMILY MEDICAL LLC

949 JENKS AVE STE 6
PANAMA CITY, FL 32401-2584

Phone: 904-853-0809
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for 360 BLUE FAMILY MEDICAL LLC

NPI Number	`1487439394`
LBN Legal business name	360 BLUE FAMILY MEDICAL LLC
Authorized official	SAMANTHA BLUE - (EMPLOYEE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/29/2023
Last updated	09/16/2023 - About 3 years ago
Identifiers	n/a

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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360 BLUE FAMILY MEDICAL LLC

Contact Information

Specialty

Family

NPI Profile & details for 360 BLUE FAMILY MEDICAL LLC

Reviews for 360 BLUE FAMILY MEDICAL LLC