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1588914725
BLUE WATER DOCTORS MSO LLC
MARGATE, FL
NPI
1588914725
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Entity Type
Organization
Authorized Contact
JOSEPH J DICAPUA
CEO
561-843-7720
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
BLUE WATER DOCTORS MSO LLC
5215 COCONUT CREEK PKWY
MARGATE, FL 33063-3916
Phone number: 561-843-7720
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Mailing Address
BLUE WATER DOCTORS MSO LLC
5215 COCONUT CREEK PKWY
MARGATE, FL 33063-3916
Phone number: 561-843-7720
Copy
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