| Entity Name: | BLUEWATER PRIMARY CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Mar 2024 (a year ago) |
| Document Number: | P24000018595 |
| FEI/EIN Number | 99-3545789 |
| Address: | 4400 E HWY 20, STE 313, NICEVILLE, FL 32578 |
| Mail Address: | 4400 E HWY 20, STE 313, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831936962 | 2024-07-15 | 2024-10-14 | 4400 E HIGHWAY 20 STE 313, NICEVILLE, FL, 325787700, US | 4400 E HIGHWAY 20 STE 313, NICEVILLE, FL, 325787700, US | |||||||||||||||||
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| Phone | +1 575-520-1230 |
| Fax | 7734928765 |
| Phone | +1 850-797-2598 |
Authorized person
| Name | DR. LEIGH POWERS |
| Role | OWNER |
| Phone | 7552012305 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POWERS, LEIGH | Agent | 4400 E HWY 20, STE 313, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| POWERS, LEIGH | President | 4400 E HWY 20, STE 313, NICEVILLE, FL 32578 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| Domestic Profit | 2024-03-11 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
