Organization
WATERS EDGE SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NATHAN COOPER M.D. (PRESIDENT/MEDICAL DIRECTOR)
(772) 286-9000
Entity
Organization
Contact information
Practice address
201 SE OSCEOLA ST, STUART, FL 34994-2210
(772) 286-9000
(772) 220-4077
Mailing address
201 SE OSCEOLA ST, STUART, FL 34994-2210
(772) 286-9000
(772) 220-4077
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PH20803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH20803
FL LICENSE
FL
Enumeration date
05/08/2006
Last updated
03/07/2023
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