Organization · NPI-2

Blue Ribbon Medical Clinic Group

Clinic/Center · Pompano Beach, FL

NPI number1144940396
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1144940396
Entity type
Organization (NPI-2)
Legal business name
Blue Ribbon Medical Clinic Group
Organization subpart
No
Enumeration date
Aug 29, 2022
Certification date
Aug 29, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2310 Nw 3rd Ave Ste 3
Pompano Beach, FL 33060-4963

Phone 617-936-9525

Mailing address

2310 Nw 3rd Ave Ste 3
Pompano Beach, FL 33060-4963

Phone 617-936-9525

Authorized official

Robespierre Lafleur
General Manager
5617671908

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