Blue Water Anesthesia Services
Anesthesiology in Port St Lucie, FL. Organization (NPI-2).
NPI number1972163533
StatusActive
Last updated in NPPESNov 9, 2022
Details
- NPI
- 1972163533
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Water Anesthesia Services
- Organization subpart
- No
- Enumeration date
- Jun 17, 2019
- Certification date
- Nov 9, 2022
- Last updated
- Nov 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
6830 S Us Highway 1Port St Lucie, FL 34952-1410
Phone 772-873-6700
Mailing address
6830 S Us Highway 1Port Saint Lucie, FL 34952-1410
Phone 772-873-6700 · Fax 772-465-5499
Authorized official
Barbara Allen
Administrator
7724649595
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