| NPI | 1164719209 |
|---|---|
| Doing Business As | BLUE WATER SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLEN LICHT Managing Director 954-906-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 1570) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-06-16 |