BLUE WATER DOCTORS OF LAKE WORTH LLC

LAKE WORTH, FL
NPI1326399791
Entity TypeOrganization
Authorized ContactJOSEPH J DICAPUA
Mgmr
561-843-7720
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
BLUE WATER DOCTORS OF LAKE WORTH LLC
4801 S CONGRESS AVE SUITE 304
LAKE WORTH, FL 33461-4746
Phone number: 954-586-8058
Mailing Address
BLUE WATER DOCTORS OF LAKE WORTH LLC
5215 COCONUT CREEK PKWY
MARGATE, FL 33063-3916
Phone number: 954-586-8058