Blue Water Health and Wellness LLC
NPI #1396379780 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1396379780
- Entity Type
- Organization
- Organization Name
- Blue Water Health and Wellness LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Feb 25, 2020
- Last Updated
- Feb 25, 2020
Practice Location
- Address
- 340 TOWN PLACE AVE. SUITE 240
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081
- Phone
- (904) 595-2583
Authorized Official
- Name
- EDWARD P SECUNDA, MD
- Title
- PRESIDENT
- Phone
- (904) 595-2583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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