Organization
BLUE WATER IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLENE A BLANTON (PRESIDENT)
(772) 429-3113
Entity
Organization
Contact information
Practice address
2401 FRIST BLVD, STE. 10, FORT PIERCE, FL 34950-4839
(772) 429-3113
(772) 429-3114
Mailing address
2401 FRIST BLVD, STE. 10, FORT PIERCE, FL 34950-4839
(772) 429-3113
(772) 429-3114
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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