Active NPI
Blue Water Doctors of Jupiter, LLC
- Family Medicine Physician
- Jupiter, FL
National Provider Identifier
1447592571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUE WATER DOCTORS OF JUPITER, LLC
- Practice address
- 2151 South Alternate A1A
Unit 650
Jupiter, FL 33477 - Phone
- (561) 744-7062
- NPI assigned
- Mar 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph J Dicapua
- Title
- Managing Member
- Phone
- (954) 586-8058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2151 South Alternate A1A
Unit 650
Jupiter, FL 33477
Mailing address
2301 NW 33Rd CT
Ste 111
Pompano Beach, FL 33069-1000
National Provider Directory
National Provider DirectoryLocations
2151 S Highway A1A Alt
Ste 650
Jupiter, FL 33477
Phone (561) 744-7062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1447592571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 NW 33RD CT",
"address_2": "STE 111",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330691000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 SOUTH ALTERNATE A1A",
"address_2": "UNIT 650",
"city": "JUPITER",
"state": "FL",
"postal_code": "33477",
"telephone_number": "561-744-7062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE WATER DOCTORS OF JUPITER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "DICAPUA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "954-586-8058"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.