| NPI | 1780249094 |
|---|---|
| Doing Business As | BLUEWATER RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | LAURA KASSA Authorized Official 904-610-4653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2024-09-12 |