| Blue Water Doctors Of Lake Worth Llc | |
|
4801 S Congress Ave Suite 304 Lake Worth FL 33461-4746 | |
| (954) 586-8058 | |
| Not Available |
| Full Name | Blue Water Doctors Of Lake Worth Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4801 S Congress Ave, Lake Worth, Florida |
| Authorized Official Name and Position | Joseph J Dicapua (MGMR) |
| Authorized Official Contact | 5618437720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Doctors Of Lake Worth Llc 5215 Coconut Creek Pkwy Margate FL 33063-3916 Ph: (954) 586-8058 | Blue Water Doctors Of Lake Worth Llc 4801 S Congress Ave Suite 304 Lake Worth FL 33461-4746 Ph: (954) 586-8058 |
| NPI Number | 1326399791 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326399791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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