Organization
BW DERMATOLOGY PLLC
Active
Organization
BW DERMATOLOGY PLLC
Active
Other names
Bluewater Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KELSEY MD (CEO)
(321) 406-8615
Entity
Organization
Contact information
Practice address
2339 MEDICO LN STE 101, MELBOURNE, FL 32940-8946
(321) 406-8615
Mailing address
2339 MEDICO LN STE 101, MELBOURNE, FL 32940-8946
(321) 406-8615
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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