Individual
MAKAYLA WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
1211 E KENNEDY BLVD, TAMPA, FL 33602-3517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9519936
FL
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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