Organization
AQUA BLUE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BETANCOURT (PRACTICE ADMINISTRATOR)
(847) 854-9402
Entity
Organization
Contact information
Practice address
785 W GRANADA BLVD STE 4, ORMOND BEACH, FL 32174-5163
(630) 464-4928
Mailing address
7901 4TH ST N # 30729, ST PETERSBURG, FL 33702-4305
(630) 464-4928
(847) 854-9403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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