Waterman Dermatology, Pa in Plantation - Specialist

Waterman Dermatology, Pa - NPI 1790838175

Waterman Dermatology, Pa is a Specialist in Plantation, Florida. Waterman Dermatology, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Waterman Dermatology, Pa is 1790838175. The last update date is 2020-08-22.

Waterman Dermatology, Pa's current location address is 600 S Pine Island Rd, Plantation, Florida. You can contact this provider via phone number 9544732078. The mailing address for Waterman Dermatology, Pa is 600 S Pine Island Rd, Plantation, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Waterman Dermatology, Pa
Address 600 S Pine Island Rd, Plantation, Florida
Phone Number 9544732078
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Waterman L Gary
Credentials DO
Telephone Number 9544732078

NPI Number Detail

NPI Number 1790838175
Provider Enumeration Date 2007-01-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 600 S Pine Island Rd
City Plantation
State Florida (FL)
Post Code 333243166
Phone Number 9544732078
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OS4781
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1982632527 FL TYPE I NPI NUMBER

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FAQs about Waterman Dermatology, Pa

What is the unique identification code assigned to Waterman Dermatology, Pa by the Centers for Medicare & Medicaid Services?

The Waterman Dermatology, Pa has been issued the NPI (National Provider Identifier) 1790838175. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Waterman Dermatology, Pa's physical address?

The Waterman Dermatology, Pa is physically located at 600 S Pine Island Rd, in the city of Plantation, FL, with the postal code 333243166.

What is Waterman Dermatology, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Waterman Dermatology, Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790838175 to Waterman Dermatology, Pa?

The Waterman Dermatology, Pa received its 1790838175 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.

As of what date was the information regarding Waterman Dermatology, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Waterman Dermatology, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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