BLO 7 DIABETES INSTITUTE INC


Address: 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952
Phone: 7724863812

BLO 7 DIABETES INSTITUTE INC (NPI# 1548756661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548756661
Entity Type Organization
Organization Name BLO 7 DIABETES INSTITUTE INC
Practice Address 1700 Sw Hillmoor Dr.
Suite 305
Port St. Lucie
FL 34952
Mailing Address 9858 Clint Moore Rd Ste C111-131
Boca Raton
FL 33496-1034
Practice Telephone 7724863812
Mailing Telephone 7724863812
Enumeration Date 2018-07-02
Last Update Date 2018-07-02
Authorized Official Name VANDANA SHAH (CEO)
Authorized Official Telephone 7724863812
Is Organization Subpart Y
Parent Organization Name SPRX PHARMACY SERVICES INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
N 174H00000X Health Educator Other Service Providers
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
Nursing Service Providers

Office Location

Street Address 1700 SW HILLMOOR DR.
SUITE 305
City PORT ST. LUCIE
State FL
Zip Code 34952

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1801305644 Thandiwe Daley Behavior Technician 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 2017-09-25
1700309408 Lagrand Evan Andrews Assistant Behavior Analyst 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 2017-07-25
1578085148 Lavetta S Ivey Behavior Technician 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 2017-07-14
1629517537 Zorunna Grabovaia Social Worker 1801se Hillsmooor Dr, Port Saint Lucie, FL 34952 2017-02-13
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

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Competitor

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City PORT ST. LUCIE
Zip Code 34952

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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