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

Q: What is Bluelakephysician Group's NPI number?

The NPI number for Bluelakephysician Group is 1679236566. It was assigned to this organization in the NPPES registry on October 18, 2021.

Q: What is Bluelakephysician Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 18, 2021

4800 W FLAGLER ST STE 212, CORAL GABLES, FL 33134(786) 703-3195(786) 703-3195 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bluelakephysician Group NPPES

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

BLUELAKEPHYSICIAN GROUP (NPI 1679236566) is a healthcare organization registered as a clinic/center in Coral Gables, Florida and active in the NPI registry since October 2021. The organization lists Trevine Roshan Albert, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679236566

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBLUELAKEPHYSICIAN GROUP

Location Address4800 W FLAGLER ST STE 212Coral Gables, FL 33134-1401

Mailing Address4800 W Flagler St Ste 212Coral Gables, FL 33134-1401 · (786) 703-3195 · Fax (786) 703-3195

Phone(786) 703-3195

Fax(786) 703-3195

Organization SubpartNo

Authorized OfficialTrevine Roshan AlbertMedical Director · (916) 225-6888

Enumeration DateOctober 18, 2021

NPPES CertifiedOctober 18, 2021

✔ NPI 1679236566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X

4800 W FLAGLER ST STE 212, Coral Gables, FL 33134

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL HEALTH SOLUTIONS INC.

Physical Therapist

4800 W FLAGLER ST STE 212
CORAL GABLES, FL 33134

Miami-Dade County (786) 269-4921

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 Bluelakephysician Group's NPI number?

The NPI number for Bluelakephysician Group is 1679236566. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Bluelakephysician Group located?

Bluelakephysician Group is located at 4800 W Flagler St Ste 212, Coral Gables, FL 33134. The listed phone number is (786) 703-3195.

What is Bluelakephysician Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bluelakephysician Group was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.