| NPI | 1831026004 |
|---|---|
| Doing Business As | BLUEWATER DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ANDREW KELSEY CEO 321-406-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-04 |