Provider Demographics
NPI:1255880233
Name:BLUE Q HEALTH AND WELLNESS PLLC
Entity type:Organization
Organization Name:BLUE Q HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-530-7778
Mailing Address - Street 1:2480 E BAY DR STE 13
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-2467
Mailing Address - Country:US
Mailing Address - Phone:727-530-7778
Mailing Address - Fax:727-530-7797
Practice Address - Street 1:2480 E BAY DR STE 13
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-2467
Practice Address - Country:US
Practice Address - Phone:727-530-7778
Practice Address - Fax:727-530-7797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-01
Last Update Date:2016-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty