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Individual

DEREK WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Mailing address
10200 N ARMENIA AVE APT 1404, TAMPA, FL 33612-7349
(508) 375-8085

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/03/2013
Last updated
10/18/2021
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