Provider Demographics
NPI:1023523180
Name:FLORIDA BLUE ADJUSTMENTS CORP
Entity type:Organization
Organization Name:FLORIDA BLUE ADJUSTMENTS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-569-8956
Mailing Address - Street 1:100 SE 3RD AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33394-0002
Mailing Address - Country:US
Mailing Address - Phone:786-569-8956
Mailing Address - Fax:
Practice Address - Street 1:100 SE 3RD AVE FL 10
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33394-0002
Practice Address - Country:US
Practice Address - Phone:786-569-8956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies