Organization
BLUE WATER DOCTORS OF DELRAY BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J DICAPUA (MANAGING MEMBER)
(954) 586-8058
Entity
Organization
Contact information
Practice address
6274 LINTON BLVD, SUITE 104, DELRAY BEACH, FL 33484-6508
(561) 865-1720
Mailing address
2301 NW 33RD CT, SUITE 111, POMPANO BEACH, FL 33069-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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