Blue Water Doctors Mso LLC

NPI #1588914725 in Margate, Florida

Provider Information

NPI Number
1588914725
Entity Type
Organization
Organization Name
Blue Water Doctors Mso LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Sep 14, 2012
Last Updated
Sep 14, 2012

Practice Location

Address
5215 COCONUT CREEK PKWY
State
Florida
ZIP Code
33063-3916
Phone
(561) 843-7720

Authorized Official

Name
JOSEPH J DICAPUA
Title
CEO
Phone
(561) 843-7720

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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