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1326399791
BLUE WATER DOCTORS OF LAKE WORTH LLC
LAKE WORTH, FL
NPI
1326399791
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Entity Type
Organization
Authorized Contact
JOSEPH J DICAPUA
Mgmr
561-843-7720
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
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
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Mailing Address
BLUE WATER DOCTORS OF LAKE WORTH LLC
5215 COCONUT CREEK PKWY
MARGATE, FL 33063-3916
Phone number: 954-586-8058
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