BLUELIFE MEDICAL, INC
NPI 1205706751
Family Medicine - Physician Nutrition Specialist in Naples, FL

Active since November 10, 2025
4850 TAMIAMI TRL N, SUITE 301, NAPLES, FL 34103(239) 778-6958 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bluelife Medical, Inc NPPES

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

BLUELIFE MEDICAL, INC (NPI 1205706751) is a healthcare organization registered as a physician nutrition specialist in Naples, Florida and active in the NPI registry since November 2025. The organization lists Jonathan L Corpus, Owner, as its authorized official.

NPPES Registry Identity

NPI1205706751
Entity TypeOrganization
Primary Taxonomy207QP0002X
Legal Business NameBLUELIFE MEDICAL, INC
Location Address4850 TAMIAMI TRL N, SUITE 301Naples, FL 34103-3029
Mailing Address4850 Tamiami Trl N, Suite 301Naples, FL 34103-3029 · (239) 778-6958
Organization SubpartNo
Authorized OfficialJonathan L CorpusOwner · (701) 818-7630
Enumeration DateNovember 10, 2025
NPPES CertifiedOctober 24, 2025
NPI 1205706751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Physician Nutrition SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207QP0002X
Definition
A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.
4850 TAMIAMI TRL N, Naples, FL 34103

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 Bluelife Medical, Inc's NPI number?

The NPI number for Bluelife Medical, Inc is 1205706751. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Bluelife Medical, Inc located?

Bluelife Medical, Inc is located at 4850 Tamiami Trl N Suite 301, Naples, FL 34103. The listed phone number is (239) 778-6958.

What is Bluelife Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Physician Nutrition Specialist, with taxonomy code 207QP0002X.

When was this NPI record last updated?

The NPPES record for Bluelife Medical, Inc was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.