Individual
SELWYN WATERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E. SAMPLE ROAD, DEPT OF EMERGENCY MEDICINE, DEERFIELD BEACH, FL 33064
(954) 786-6800
Mailing address
201 E. SAMPLE ROAD, DEPT OF EMERGENCY MEDICINE, DEERFIELD BEACH, FL 33064
(954) 786-6800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
195018-1
NY
207P00000X
Emergency Medicine Physician
Primary
ME 97308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720378
—
NY
Enumeration date
09/14/2005
Last updated
10/13/2021
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