Whalio Doctors

NPI 1003684283

Bluewater Dermatology, P.L.L.C.

Organisation Dermatology Physician Destin, FL

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
Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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.