Provider Demographics
NPI:1891095857
Name:SKY BLUE HEALTH CARE INC
Entity Type:Organization
Organization Name:SKY BLUE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-536-4229
Mailing Address - Street 1:1 GLEN ROYAL PKWY
Mailing Address - Street 2:STE 302
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5287
Mailing Address - Country:US
Mailing Address - Phone:786-536-4229
Mailing Address - Fax:786-536-4231
Practice Address - Street 1:1 GLEN ROYAL PKWY
Practice Address - Street 2:STE 302
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5287
Practice Address - Country:US
Practice Address - Phone:786-536-4229
Practice Address - Fax:786-536-4231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation