MEDICARE: BLUE HEALTH, LLC

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number	:	1023954237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE HEALTH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 212053
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33421-2053
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13655 PASTEUR BLVD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418
Country	:	US
Telephone Number	:	561-798-8559
Fax Number	:	561-798-8645

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE DANIEL GHIRAGOSSIAN
Credential	:
Telephone Number	:	561-762-6160

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “BLUE HEALTH, LLC ” Practice Location

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