NPI 1174093959
Blackfin Medical
Practice location
- Address
- 6415 Lake Worth Rd STE 102, Greenacres, FL 33463-3009
- Phone
- (561) 331-0808
- Fax
- (561) 237-6034
Authorised official
- Name
- Bradford George Peters
- Title
- Ceo
- Phone
- (561) 331-0808
Registered specialties
Supports Brokerage Agency
Primary
Registry record
- NPI
- 1174093959
- Entity type
- Organization
- NPI issued
- 5 Dec 2018
- Record last updated
- 27 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.