Bluewater Dermatology, P.l.l.c.

NPI #1003684283 in Destin, Florida

Provider Information

NPI Number
1003684283
Entity Type
Organization
Organization Name
Bluewater Dermatology, P.l.l.c.
Primary Specialty
Dermatology
Enumeration Date
Dec 18, 2023
Last Updated
Dec 18, 2023

Practice Location

Address
703 JUPITER ST
City
Destin
State
Florida
ZIP Code
32541-1810
Phone
(850) 585-1308

Authorized Official

Name
DR. LAYNE MARC FIELDER, MD
Title
OWNER
Phone
(850) 585-1308

Specialties & Taxonomy Codes

Specialty
Dermatology

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