Organization
BLUE WATER DOCTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DI CAPUA (OWNER)
(561) 843-7720
Entity
Organization
Contact information
Practice address
2730 N STATE ROAD 7, MARGATE, FL 33063
(561) 688-8917
(561) 688-8987
Mailing address
2730 N STATE ROAD 7, MARGATE, FL 33063-5726
(954) 586-8058
(954) 222-6417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
05/10/2024
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