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Organization

BLUE WATER DOCTORS LLC

Active
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Organization

BLUE WATER DOCTORS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH DI CAPUA (OWNER)
(561) 843-7720
Entity
Organization

Contact information

Practice address
2730 N STATE ROAD 7, MARGATE, FL 33063
(561) 688-8917
(561) 688-8987
Mailing address
2730 N STATE ROAD 7, MARGATE, FL 33063-5726
(954) 586-8058
(954) 222-6417

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—

Other

Enumeration date
08/16/2010
Last updated
05/10/2024
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