Blue Water Surgical, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BLUE WATER SURGICAL, PLLC

Practice address

7062 S Aloysia Ave
Floral City, FL 34436-2844

Phone

(352) 634-4038

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry R Ferber, MD

Title

Physician / Owner

Phone

(352) 634-4038

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1316362536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 S ALOYSIA AVE",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344362844",
            "telephone_number": "352-634-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7062 S ALOYSIA AVE",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344362844",
            "telephone_number": "352-634-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "FERBER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "352-634-4038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Patrice Billman, RN
• Ana C Cruz Diaz, M.D
• Helen M Dallaire, LMT
• Luz Y Echeverri, M.A
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• Melissa June Egan

• Surgery Physician in Floral City, FL
• Providers in Floral City, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.