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1396379780
BLUE WATER HEALTH AND WELLNESS LLC
PONTE VEDRA, FL
NPI
1396379780
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Entity Type
Organization
Authorized Contact
EDWARD P SECUNDA
President
904-595-2583
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
BLUE WATER HEALTH AND WELLNESS LLC
340 TOWN PLACE AVE. SUITE 240
PONTE VEDRA, FL 32081
Phone number: 904-595-2583
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Mailing Address
BLUE WATER HEALTH AND WELLNESS LLC
340 TOWN PLACE AVE. SUITE 240
PONTE VEDRA, FL 32081
Phone number: 904-595-2583
Copy
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