OrganizationActive
Blue Medical Inc
NPI 1104666197 · Primary Care Clinic/Center · Kissimmee, FL
Provider details
- NPI number
- 1104666197
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erickson Baldera Garces, Primary Care Physician(201) 993-1475
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4651 Green Palm Ln
Kissimmee, FL 34746-5991
Phone: (201) 993-1475
Street-level locationGet directions
Mailing address
4651 Green Palm Ln
Kissimmee, FL 34746-5991
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.