Individual
RAYMOND S WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 MARTIN LUTHER KING BLVD, PUNTA GORDA, FL 33950
(941) 639-6616
(941) 639-1716
Mailing address
223 MARTIN LUTHER KING BLVD, PUNTA GORDA, FL 33950
(941) 639-6616
(941) 639-1716
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME38648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47422
BCBS
FL
Enumeration date
08/17/2006
Last updated
07/08/2007
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