Blue Pearl Wellness

LBN: Professional Medical Research Llc
Blue Pearl Wellness is an health care organization with primary practice located at 4101 Ravenswood Rd Ste 202 , Fort Lauderdale FL 33312-5301. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Research. Ambulatory Health Care Facilities / Research is the primary health care specialty. Professional Medical Research Llc can be contacted via phone (954) 251-3454, or through Gonzalez, Ariadna via phone (954) 251-3454.

Contact Information

Primary practice address
4101 Ravenswood Rd Ste 202 Fort Lauderdale FL 33312-5301
Phone: (954) 251-3454
Fax: (954) 251-3474
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Ariadna
Phone: (954) 251-3454

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Research 261QR1100X

Profile Details

NPI number 1407596810
LBN Legal business name Professional Medical Research Llc
DBA Doing business as Blue Pearl Wellness
Authorized official Gonzalez, Ariadna
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2022
Last updated May 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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