Bluewater Orthopedics, PA
Organization Active NPI Sports Medicine (Internal Medicine) Physician · Niceville, FL
NPI 1780628255 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1780628255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Internal Medicine) Physician 207RS0010X
- License
- ME0060265 (FL)
- Legal business name
- BLUEWATER ORTHOPEDICS, PA
- Practice address
- 1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887 - Phone
- (850) 897-8081
- Fax
- (850) 897-1520
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda Ann Strickland
- Title
- Practice Administrator
- Phone
- (850) 897-8081
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Bluewater Orthopedics PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician |
207RS0010X | ME0060265 | FL | Yes |
Addresses
Primary practice location
1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887
Mailing address
1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3887
Phone (850) 897-8081
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14883B | Other | FL | BCBSFL |
Other providers in Niceville, FL
- Bluewater Cardiology LLC
- Bluewater Orthopedics PA
- Bluewater Orthopedics, P.a.
- Bluewater Orthopedics, P.a.
- Bluewater Orthopedics, P.a.
- Bluewater Plastic Surgery & Cosmetic Center
- Bluewater Primary Care, Inc
- Bluewater Radiology, PLLC
- Bluewater Wellness Group LLC
- Amy Elissa Bogan
All providers in Niceville, FL · Sports Medicine (Internal Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.