Organization
BLUE WATER DOCTORS MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J DICAPUA (CEO)
(561) 843-7720
Entity
Organization
Contact information
Practice address
5215 COCONUT CREEK PKWY, MARGATE, FL 33063-3916
(561) 843-7720
Mailing address
5215 COCONUT CREEK PKWY, MARGATE, FL 33063-3916
(561) 843-7720
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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