Organization
BLUEWATER ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M. FOX D.O. (PRESIDENT)
(850) 897-8081
Entity
Organization
Contact information
Practice address
1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL 32578-3887
(850) 897-8081
(850) 897-1520
Mailing address
1950 BLUEWATER BLVD, SUITE 100, NICEVILLE, FL 32578-3887
(850) 897-8081
(850) 897-1520
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250939300
—
FL
Enumeration date
07/07/2006
Last updated
03/02/2017
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