Healthcare Provider Details

I. General information

NPI: 1407770035
Provider Name (Legal Business Name): BLUEWATER HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9332 STATE ROAD 54 STE 202
NEW PORT RICHEY FL
34655-1810
US

IV. Provider business mailing address

9332 STATE ROAD 54 STE 202
NEW PORT RICHEY FL
34655-1810
US

V. Phone/Fax

Practice location:
  • Phone: 727-597-4441
  • Fax: 727-597-4445
Mailing address:
  • Phone: 727-597-4441
  • Fax: 727-597-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAHIL PARESH PATEL
Title or Position: OWNER
Credential: MD
Phone: 616-337-6666