OrganizationActive
Bluewater Plastic Surgery & Cosmetic Center
NPI 1861584880 · Case Management Agency · Niceville, FL
Bluewater Plastic Surgery & Cosmetic Center is a Case Management Agency organization in Niceville, FL (NPI 1861584880).
Provider details
- NPI number
- 1861584880
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Steven Clark, President(850) 682-5332
- License
- ME72670 (FL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4400 E Highway 20 Ste 501
Niceville
Niceville, FL 32578-8825
Phone: (850) 682-5332
Fax: (850) 683-5333
Street-level locationGet directions
Mailing address
4400 E Highway 20 Ste 501
Niceville, FL 32578-8825
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bluewater Plastic Surgery & Cosmetic Center's NPI number?
- Bluewater Plastic Surgery & Cosmetic Center's National Provider Identifier (NPI) is 1861584880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluewater Plastic Surgery & Cosmetic Center?
- Bluewater Plastic Surgery & Cosmetic Center is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Bluewater Plastic Surgery & Cosmetic Center located?
- Bluewater Plastic Surgery & Cosmetic Center's practice location on file with NPPES is 4400 E Highway 20 Ste 501, Niceville, FL 32578-8825.
- What is Bluewater Plastic Surgery & Cosmetic Center's phone number?
- The practice phone number listed in the NPPES registry for Bluewater Plastic Surgery & Cosmetic Center is (850) 682-5332.
- Who is the authorized official for Bluewater Plastic Surgery & Cosmetic Center?
- The authorized official listed on Bluewater Plastic Surgery & Cosmetic Center's NPPES record is Steven Clark, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluewater Plastic Surgery & Cosmetic Center's NPI active?
- Yes — Bluewater Plastic Surgery & Cosmetic Center's NPI (1861584880) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.