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General NPI Number Information
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NPI Number | 1548053796
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Entity Type | Organization
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Legal Business Name | BLEU MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 7971 SW 40TH ST STE 22-23
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City | MIAMI
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State | FL
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Zip | 33155-6749
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Country | US
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Telephone | 305-801-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 7971 SW 40TH ST STE 22-23
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City | MIAMI
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State | FL
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Zip | 33155-6749
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Country | US
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Telephone | 786-655-6566
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Fax | 305-294-2678
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Authorized Official
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Title or Position | OWNER
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Name | YAMISLEIDY SILVA
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Credential | DNP
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Telephone | 786-597-1834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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