Individual
DOUGLAS WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4311 SALISBURY RD, JACKSONVILLE, FL 32216-6123
(904) 332-4300
(904) 332-4339
Mailing address
4311 SALISBURY RD, JACKSONVILLE, FL 32216-6123
(904) 332-4300
(904) 332-4339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106355
FL
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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