BLUELAKEPHYSICIAN GROUP
NPI 1679236566
Clinic/Center in Coral Gables, FL

NPI Status: Active since October 18, 2021

Contact Information

4800 W FLAGLER ST STE 212
CORAL GABLES, FL
ZIP 33134
Phone: (786) 703-3195
Fax: (786) 703-3195

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  • Organization
  • Clinic/Center

About BLUELAKEPHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Bluelakephysician Group, a provider established in Coral Gables, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1679236566 assigned on October 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Bluelakephysician Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Trevine Roshan Albert I Os14935 (Medical Director)

NPI
1679236566
Provider Name
BLUELAKEPHYSICIAN GROUP
Entity Type
Organization
Location Address
4800 W FLAGLER ST STE 212 CORAL GABLES, FL 33134
Location Phone
(786) 703-3195
Location Fax
(786) 703-3195
Mailing Address
4800 W FLAGLER ST STE 212 CORAL GABLES, FL 33134
Mailing Phone
(786) 703-3195
Mailing Fax
(786) 703-3195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2021
Last Update Date
10-18-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Sports

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TREVINE ROSHAN ALBERT I OS14935

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(916) 225-6888

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679236566
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261494312512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 4 + 3 + 1 + 2 + 5 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1679236566 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

PROFESSIONAL HEALTH SOLUTIONS INC.

Physical Therapist

4800 W FLAGLER ST STE 212
CORAL GABLES, FL
ZIP 33134

(786) 269-4921

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679236566, enumerated as an "organization" on October 18, 2021.

The provider is located at 4800 W FLAGLER ST STE 212 CORAL GABLES, FL 33134 and the phone number is (786) 703-3195.

Clinic/Center with taxonomy code 261Q00000X.