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Blue Water Health and Wellness LLC

Multi-Specialty Clinic/Center in Ponte Vedra, FL · enumerated 2020 · authorized official Edward Secunda, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396379780

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Water Health and Wellness LLC
Practice address 340 Town Place Ave. Suite 240, Ponte Vedra, FL, 32081
Phone (904) 595-2583
Fax (904) 595-2584
Enumeration date Feb 25, 2020
Last updated in NPPES Feb 25, 2020

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Edward Secunda
Title President
Phone (904) 595-2583

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Blue Water Health and Wellness LLC?
The NPI for Blue Water Health and Wellness LLC is 1396379780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Blue Water Health and Wellness LLC?
NPPES lists Edward Secunda (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-25.