| Bluewater Wellness Center | |
|
10870 Us Highway 1 N Unit 105, Ponte Vedra, FL 32081-7804 | |
| (201) 248-9609 | |
| Not Available |
| Full Name | Bluewater Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10870 Us Highway 1 N Unit 105, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689355869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kevin S Merlino |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851457097 PECOS PAC ID: 9638331028 Enrollment ID: I20220329002617 |
| Mailing Address | Practice Location Address |
|---|---|
| Bluewater Wellness Center 212 Cornwall Dr, Ponte Vedra, FL 32081-0126 Ph: (201) 248-9609 | Bluewater Wellness Center 10870 Us Highway 1 N Unit 105, Ponte Vedra, FL 32081-7804 Ph: (201) 248-9609 |
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