FLORIDA BLUE STAR INC
NPI 1053993550
Nurse Practitioner - Primary Care in Cape Coral, FL

Q: What is Florida Blue Star Inc's NPI number?

The NPI number for Florida Blue Star Inc is 1053993550. It was assigned to this organization in the NPPES registry on April 23, 2021.

Q: What is Florida Blue Star Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since April 23, 2021

1325 SE 47TH ST STE I, CAPE CORAL, FL 33904(239) 205-2337(239) 310-5287 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Florida Blue Star Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA BLUE STAR INC (NPI 1053993550) is a healthcare organization registered as a primary care in Cape Coral, Florida and active in the NPI registry since April 2021. The organization lists Yudith Simon, Advanced Practice Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1053993550

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameFLORIDA BLUE STAR INC

Location Address1325 SE 47TH ST STE ICape Coral, FL 33904-9669

Mailing Address1525 Se 5th CtCape Coral, FL 33990-2019 · (305) 803-4502

Phone(239) 205-2337

Fax(239) 310-5287

Organization SubpartNo

Authorized OfficialYudith SimonAdvanced Practice Registered Nurse · (305) 803-4502

Enumeration DateApril 23, 2021

NPPES CertifiedApril 23, 2021

✔ NPI 1053993550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

1325 SE 47TH ST STE I, Cape Coral, FL 33904

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Blue Star Inc's NPI number?

The NPI number for Florida Blue Star Inc is 1053993550. It was assigned to this organization in the NPPES registry on April 23, 2021.

Where is Florida Blue Star Inc located?

Florida Blue Star Inc is located at 1325 SE 47th St Ste I, Cape Coral, FL 33904. The listed phone number is (239) 205-2337.

What is Florida Blue Star Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Florida Blue Star Inc was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.