NPI 1356162952

The Blue Tree Cafe Limited Liability Co.

Organisation Meals Provider Ft Lauderdale, FL

Practice location

Address: 612 NW 9th Ave STE a, Ft Lauderdale, FL 33311-7674
Phone: (786) 239-9131
Mailing address: 2701 Tarpon Dr, Miramar, FL 33023-4524

Authorised official

Name: Sharon Allen
Title: Owner
Phone: (786) 239-9131

Registered specialties (4)

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

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Local Education Agency (LEA)

Agencies Taxonomy 251300000X

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Home Delivered Meals

Suppliers Taxonomy 332U00000X

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Medical Foods Supplier

Suppliers Taxonomy 335G00000X

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Registry record

NPI: 1356162952
Entity type: Organization
NPI issued: 17 Oct 2024
Record last updated: 17 Oct 2024

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.