Organization
BLUE WATER HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD P SECUNDA MD (PRESIDENT)
(904) 595-2583
Entity
Organization
Contact information
Practice address
340 TOWN PLACE AVE. SUITE 240, PONTE VEDRA, FL 32081
(904) 595-2583
(904) 595-2584
Mailing address
340 TOWN PLACE AVE. SUITE 240, PONTE VEDRA, FL 32081
(904) 595-2583
(904) 595-2584
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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