# BLUE WATER DOCTORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821303744
- **Authorized official:** JOSEPH DI CAPUA (OWNER)
- **Authorized official phone:** (561) 843-7720

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2010
- **Last updated:** 05/10/2024