Organization
BLUE WATER DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX WARD (OWNER)
(813) 291-7093
Entity
Organization
Contact information
Practice address
2014 ASHLEY OAKS CIR, WESLEY CHAPEL, FL 33544-6400
(813) 291-7093
(888) 789-4755
Mailing address
2437 BAY AREA BLVD # 194, HOUSTON, TX 77058-1519
(281) 944-4701
(888) 789-4755
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/22/2019
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