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1992740229
BLUEWATER BAY UROLOGY LLC
NICEVILLE, FL
NPI
1992740229
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Entity Type
Organization
Authorized Contact
MICKEY PICKLER
Vice President
850-523-2117
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-06-19
Last Update Date
2008-01-10
Business Address
BLUEWATER BAY UROLOGY LLC
4566 E HIGHWAY 20 SUITE 102
NICEVILLE, FL 32578-8838
Phone number: 850-897-6005
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Mailing Address
BLUEWATER BAY UROLOGY LLC
4566 E HIGHWAY 20 SUITE 102
NICEVILLE, FL 32578-8838
Phone number: 850-897-6005
Copy
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