Organization Active NPI

Blue Water Doctors of Jupiter, LLC

  • Family Medicine Physician
  • Jupiter, FL
National Provider Identifier
1447592571
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 27, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.