Bluewater Infusion Clinic Inc.

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

BLUEWATER INFUSION CLINIC INC.

Practice address

921 Mar Walt Dr
Fort Walton Beach, FL 32547-6653

Phone

(850) 388-4333

Fax

(850) 388-4338

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Timothy Mixon

Title

Owner

Phone

(251) 923-5537

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick John Anastasio, D.O.

  • Infectious Disease Physician
  • Fort Walton Beach, FL
  • NPI 1598731770
  NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1740969252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476653",
            "telephone_number": "850-388-4333",
            "fax_number": "850-388-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476653",
            "telephone_number": "850-388-4333",
            "fax_number": "850-388-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER INFUSION CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-923-5537"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Upon Blessing
• BLM First Assistant
• Susan Kay Block, N.P.
• Blue Job Emergency Physicians LLC
• Kathelen Blue, L.M.H.C.
• Lawrence B. Blumberg, MD
• Rachel Anne Blythe, PHARMD
• Brian Keith Boelk, MSW
• Rebekah Elizabeth Boes, LMHC
• Elizabeth Johnson Boeve, RN

• Infusion Therapy Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Infusion Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.