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BLUEWATER ORTHOPEDICS AND REHABILITATION
NPI 1700119443
Specialist in Crestview, FL

Active since September 14, 2009
120 E REDSTONE AVE, SUITE B, CRESTVIEW, FL 32539(850) 398-8600(850) 897-1520 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bluewater Orthopedics And Rehabilitation NPPES

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

BLUEWATER ORTHOPEDICS AND REHABILITATION (NPI 1700119443) is a healthcare organization registered as a specialist in Crestview, Florida and active in the NPI registry since September 2009. The organization lists Thomas Fox, President, as its authorized official.

NPPES Registry Identity

NPI1700119443
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUEWATER ORTHOPEDICS, P.A.
Location Address120 E REDSTONE AVE, SUITE BCrestview, FL 32539-5370
Mailing Address1950 Bluewater Blvd Ste 100Niceville, FL 32578-3888 · (850) 897-8081 · Fax (850) 897-1520
Phone(850) 398-8600
Fax(850) 897-1520
Organization SubpartNo
Authorized OfficialThomas FoxPresident · (850) 897-8081
Enumeration DateSeptember 14, 2009
Last NPPES UpdateMarch 2, 2017
✔ NPI 1700119443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 601421
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
120 E REDSTONE AVE, Crestview, FL 32539
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Other Names 1

Doing Business AsBluewater Orthopedics And Rehabilitation

Other Identifiers 3

Medicare PIN40238FL
Medicare NSC0893890003
Medicaid250939303FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEIL PATEL DPM
Podiatrist
120 E REDSTONE AVE, STE A
CRESTVIEW, FL 32539
Okaloosa County (850) 862-4119
CREATIVE ORTHOTIC & PROSTHETIC SERVICES
Durable Medical Equipment & Medical Supplies
120 E REDSTONE AVE, # C
CRESTVIEW, FL 32539
Okaloosa County (850) 398-8159

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 Bluewater Orthopedics, P.A.'s NPI number?

The NPI number for Bluewater Orthopedics, P.A. is 1700119443. It was assigned to this organization in the NPPES registry on September 14, 2009. The provider is doing business as Bluewater Orthopedics And Rehabilitation.

Where is Bluewater Orthopedics, P.A. located?

Bluewater Orthopedics, P.A. is located at 120 E Redstone Ave Suite B, Crestview, FL 32539. The listed phone number is (850) 398-8600.

What is Bluewater Orthopedics, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bluewater Orthopedics, P.A. was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.