MEDICARE: FLORIDA BLUE ADJUSTMENTS CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1023523180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA BLUE ADJUSTMENTS CORP

Provider Business Mailing Address
First Line	:	100 SE 3RD AVE FL 10
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33394-0002
Country	:	US
Telephone Number	:	786-569-8956
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 SE 3RD AVE FL 10
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33394-0002
Country	:	US
Telephone Number	:	786-569-8956
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEX ALONSO
Credential	:	MD
Telephone Number	:	786-569-8956

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	12/11/2017

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