BLUEWATER WELLNESS GROUP LLC (NPI# 1538706288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538706288 |
| Entity Type | Organization |
| Organization Name | BLUEWATER WELLNESS GROUP LLC |
| Practice Address |
4400 E Highway 20 Ste 207 Niceville FL 32578-7700 |
| Mailing Address |
4854 Orlimar St Crestview FL 32536-6413 |
| Practice Telephone | 8508971177 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | LETITIA SMITH (CHIROPRACTOR/ OWNER) |
| Authorized Official Telephone | 7573297145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
Chiropractic Providers |
| Street Address |
4400 E HIGHWAY 20 STE 207 |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457683245 | Bambi R Denais | Chiropractor | 4400 E Highway 20 Ste 207, Niceville, FL 32578-7700 | 2010-02-04 |
| 1477021327 | Letitia C Smith | Chiropractor | 4400 E Highway 20 Ste 207, Niceville, FL 32578-7700 | 2018-11-08 |
| 1972861888 | Eric Stein | Massage Therapist | 4400 E Highway 20 Ste 207, Niceville, FL 32578-7700 | 2012-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183867 | Ashley N Figueroa Melendez | Chiropractor | 2575 N Toledo Blade Blvd Unit 2, North Port, FL 34289-9350 | 2020-08-03 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1982102547 | Carissa Hughes | Chiropractor | 5613 Skytop Dr, Lithia, FL 33547-4165 | 2018-01-30 |
| 1952780843 | Mali Khalil Lutfi | Chiropractor | 13414 Fordwell Dr, Orlando, FL 32828-9046 | 2015-05-25 |
| 1568768869 | Sandra Gomez | Chiropractor | 6075 Sw 72nd St, Suite 203, South Miami, FL 33143-5000 | 2011-02-03 |
| 1922573161 | Family Focus Chiropractic LLC | Chiropractor | 12641 San Jose Blvd, Jacksonville, FL 32223-2646 | 2018-10-03 |
| 1205375169 | David Lopez-robles | Chiropractor | 450 Ne 5th St, Suite 7, Fort Lauderdale, FL 33301-3468 | 2017-02-13 |
| 1760936249 | Maximillan Zdrada | Chiropractor | 136 N Orchard St, Suite 3, Ormond Beach, FL 32174-9534 | 2016-08-12 |
| 1124277637 | Fitness & Wellness Works, LLC | Chiropractor | 934 N University Dr, Suite 219, Coral Springs, FL 33071-7029 | 2008-09-09 |
| 1629243548 | Alterman & Johnson Family Chiropractors,pa | Chiropractor | 423 3rd St N, Jacksonville Beach, FL 32250-7028 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.