Organization
BLUEWATER ORTHOPEDICS, P.A.
Active
Other names
Bluewater Orthopedics and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FOX M.D. (PRESIDENT)
(850) 897-8081
Entity
Organization
Contact information
Practice address
120 E REDSTONE AVE, SUITE B, CRESTVIEW, FL 32539-5370
(850) 398-8600
(850) 897-1520
Mailing address
1950 BLUEWATER BLVD STE 100, NICEVILLE, FL 32578-3888
(850) 897-8081
(850) 897-1520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
601421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250939303
—
FL
Enumeration date
09/14/2009
Last updated
03/02/2017
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