BLUELAKEPHYSICIAN GROUP – Clinic/Center, NPI 1679236566

BLUELAKEPHYSICIAN GROUP is a healthcare provider. based in Coral gables, Florida. specializing in Clinic/Center. The NPI Number for BLUELAKEPHYSICIAN GROUP is 1679236566

Main info

Organization
Name
BLUELAKEPHYSICIAN GROUP
NPI
1679236566
Phone
(786) 703-3195
Address
4800 W FLAGLER ST STE 212
Authorized Official
DR. TREVINE ROSHAN ALBERT I MEDICAL DIRECTOR OS14935
Enumeration Date
18 October 2021
Last Update Date
18 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for BLUELAKEPHYSICIAN GROUP

  • 4800 W FLAGLER ST STE 212

    CORAL GABLES, FL 331341401

    Phone: (786) 703-3195

    Fax: (786) 703-3195

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33134)

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Frequently asked questions

Is BLUELAKEPHYSICIAN GROUP listed with a National Provider Identifier?
Yes — BLUELAKEPHYSICIAN GROUP has NPI 1679236566 on file in the registry.
Would BLUELAKEPHYSICIAN GROUP appear as active to a payer?
You can treat BLUELAKEPHYSICIAN GROUP as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BLUELAKEPHYSICIAN GROUP?
BLUELAKEPHYSICIAN GROUP is associated with Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Is BLUELAKEPHYSICIAN GROUP associated with Coral Gables?
Public fields place BLUELAKEPHYSICIAN GROUP around Coral Gables, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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