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Individual
JOHN THOMAS WATERS
Active
Individual
JOHN THOMAS WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9502310
FL
363L00000X
Nurse Practitioner
11047824
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
159357
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/01/2026
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