Organization
BLUE WATER ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ALLEN (ADMINISTRATOR)
(772) 464-9595
Entity
Organization
Contact information
Practice address
6830 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-1410
(772) 873-6700
Mailing address
6830 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-1410
(772) 873-6700
(772) 465-5499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
11/09/2022
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