DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE TIDE PEDIATRIC THERAPY LLC

Active Organization

BLUE TIDE PEDIATRIC THERAPY LLC is a Clinic/Center organization located in DESTIN, Florida. NPI 1114654431 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · DESTIN, FL

Registration Details

NPI Number
1114654431
Provider Type
Organization
NPI Issued
Aug 5, 2022 (4.0313508697548 yrs)
Last Updated
Jan 13, 2025

Practice Information

Address
4641 GULFSTARR DR STE 102
DESTIN, FL, 325413776
Browse FL providers · Browse ZIP 32541
Phone
8509646162
Fax
8508486643
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Massage Therapist
Additional Specialty
Clinic/Center

Other Clinic/Center Organizations in DESTIN, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.