BLUE WATER HEALTH AND WELLNESS LLC
NPI 1396379780
Clinic/Center - Multi-Specialty in Ponte Vedra, FL
NPI Status: Active since February 25, 2020
Contact Information
340 TOWN PLACE AVE. SUITE 240
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 595-2583
Fax: (904) 595-2584
- Organization
- Clinic/Center
- Multi-Specialty
About BLUE WATER HEALTH AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Blue Water Health And Wellness Llc, a provider established in Ponte Vedra, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1396379780 assigned on February 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Edward P Secunda Md (President)
- NPI
- 1396379780
- Provider Name
- BLUE WATER HEALTH AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 340 TOWN PLACE AVE. SUITE 240 PONTE VEDRA, FL 32081
- Location Phone
- (904) 595-2583
- Location Fax
- (904) 595-2584
- Mailing Address
- 340 TOWN PLACE AVE. SUITE 240 PONTE VEDRA, FL 32081
- Mailing Phone
- (904) 595-2583
- Mailing Fax
- (904) 595-2584
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2020
- Last Update Date
- 02-25-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 3 | 7 | 9 | 7 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 6 | 7 | 18 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 6 + 7 + 1 + 8 + 7 + 1 + 6 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1396379780 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396379780, enumerated in the NPI registry as an "organization" on February 25, 2020
The provider is located at 340 Town Place Ave. Suite 240 Ponte Vedra, Fl 32081 and the phone number is (904) 595-2583
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
This NPI record was last updated on February 25, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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