1. Home
  2. Directory
  3. Florida
  4. Ponte Vedra
  5. Clinic Center
  6. NPI Profile

BLUE WATER HEALTH AND WELLNESS LLC
NPI 1396379780
Clinic/Center - Multi-Specialty in Ponte Vedra, FL

Active since February 25, 2020
340 TOWN PLACE AVE. SUITE 240, PONTE VEDRA, FL 32081(904) 595-2583(904) 595-2584 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blue Water Health And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER HEALTH AND WELLNESS LLC (NPI 1396379780) is a healthcare organization registered as a multi-specialty in Ponte Vedra, Florida and active in the NPI registry since February 2020. The organization lists Edward P Secunda, President, as its authorized official.

NPPES Registry Identity

NPI1396379780
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLUE WATER HEALTH AND WELLNESS LLC
Location Address340 TOWN PLACE AVE. SUITE 240Ponte Vedra, FL 32081
Mailing Address340 Town Place Ave. Suite 240Ponte Vedra, FL 32081 · (904) 595-2583 · Fax (904) 595-2584
Phone(904) 595-2583
Fax(904) 595-2584
Organization SubpartNo
Authorized OfficialEdward P SecundaPresident · (904) 595-2583
Enumeration DateFebruary 25, 2020
✔ NPI 1396379780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
340 TOWN PLACE AVE. SUITE 240, Ponte Vedra, FL 32081
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Health And Wellness LLC's NPI number?

The NPI number for Blue Water Health And Wellness LLC is 1396379780. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is Blue Water Health And Wellness LLC located?

Blue Water Health And Wellness LLC is located at 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081. The listed phone number is (904) 595-2583.

What is Blue Water Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Blue Water Health And Wellness LLC was last updated on February 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.