BLUEWATER WELLNESS GROUP LLC NPI 1538706288

NPI Information

  • NPI: 1538706288
  • Provider Name: BLUEWATER WELLNESS GROUP LLC
  • Classification: Chiropractor - 111NP0017X
  • Specialization: Pediatric Chiropractor
  • Entity Type: Organization
  • Address: 4400 E HIGHWAY 20 STE 207
    NICEVILLE, FL
    ZIP 32578
  • Phone: (850) 897-1177

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NPI Details

BLUEWATER WELLNESS GROUP LLC is a pediatric chiropractor chiropractor in Niceville, FL. The provider is the Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. BLUEWATER WELLNESS GROUP LLC NPI is 1538706288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 E HIGHWAY 20 STE 207
NICEVILLE, FL
ZIP 32578-700
Phone: (850) 897-1177

The provider's authorized official is Letitia Smith .
The authorized official title is Chiropractor/ Owner and has the following contact phone number (757) 329-7145.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NP0017XChiropractorPediatric ChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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