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1831936962
BLUEWATER PRIMARY CARE, INC
NICEVILLE, FL
NPI
1831936962
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Entity Type
Organization
Authorized Contact
LEIGH POWERS
Owner
755-201-2305
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
Enumeration Date
2024-07-15
Last Update Date
2024-10-14
Business Address
BLUEWATER PRIMARY CARE, INC
4400 E HIGHWAY 20 STE 313
NICEVILLE, FL 32578-7700
Phone number: 850-797-2598
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Mailing Address
BLUEWATER PRIMARY CARE, INC
4400 E HIGHWAY 20 STE 313
NICEVILLE, FL 32578-7700
Phone number: 575-520-1230
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