Individual
CORETTA B WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 S DIXIE HWY STE 106, BOCA RATON, FL 33432-7463
(561) 372-9108
Mailing address
5398 NW 126TH DR, CORAL SPRINGS, FL 33076-3406
(954) 531-3585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9491709
FL
Other
Enumeration date
12/02/2021
Last updated
08/15/2024
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