NPI 1003684283
Bluewater Dermatology, P.L.L.C.
Practice location
- Address
- 703 Jupiter St, Destin, FL 32541-1810
- Phone
- (850) 585-1308
Authorised official
- Name
- Layne Marc Fielder
- Title
- Owner
- Phone
- (850) 585-1308
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1003684283
- Entity type
- Organization
- NPI issued
- 18 Dec 2023
- Record last updated
- 18 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.