Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Blueshine Medical Center LLC

Organization General Practice Physician · NPI 1053138099

Blueshine Medical Center LLC provides General Practice Physician services in Cape Coral, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 Santa Barbara Blvd Ste 121
Cape Coral, FL 33991-2160
Phone: (305) 790-6544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053138099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Cevallos — Provider · (305) 790-6544
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 22, 2024
Mailing address205 Nw 15th Pl, Cape Coral, FL 33993-7747

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