Organization
BLUEWATER RADIOLOGY, PLLC
Active
Other names
BLUEWATER DIAGNOSTIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS BARNETT MD (OWNER)
(850) 729-6747
Entity
Organization
Contact information
Practice address
4536 E HIGHWAY 20, NICEVILLE, FL 32578-9755
(850) 729-6747
(850) 729-7279
Mailing address
PO BOX 242848, MONTGOMERY, AL 36124-2848
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
12/07/2020
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