Organization
WATERS EDGE DERMATOLOGY GLOBAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SCHIFF MD (MANAGER)
(561) 693-0540
Entity
Organization
Contact information
Practice address
2601 S KANNER HIGHWAY, STUART, FL 34994
(561) 693-0540
Mailing address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4543
(561) 693-0540
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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