Blue Water Health And Wellness Llc

LBN: Blue Water Health And Wellness Llc
Blue Water Health And Wellness Llc is an health care organization with primary practice located at 340 Town Place Ave. Suite 240 , Ponte Vedra FL 32081. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Blue Water Health And Wellness Llc can be contacted via phone (904) 595-2583, or through Secunda, Edward P via phone (904) 595-2583.

Contact Information

Primary practice address
340 Town Place Ave. Suite 240 Ponte Vedra FL 32081
Phone: (904) 595-2583
Fax: (904) 595-2584
Website:
Map and Directions
Authorized official contact:
Name: Secunda, Edward P Doctor of Medicine (MD)
Phone: (904) 595-2583

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1396379780
LBN Legal business name Blue Water Health And Wellness Llc
DBA Doing business as
Authorized official Secunda, Edward P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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