Organization
J. WATERMAN & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WATERMAN (ADMINISTRATOR)
(561) 308-8086
Entity
Organization
Contact information
Practice address
2543 BURNS RD, PALM BEACH GARDENS, FL 33410-5204
(561) 308-8086
Mailing address
729 CHARLESTOWN CIR, PALM BEACH GARDENS, FL 33410-3428
(561) 622-2764
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS5237
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045840600
—
FL
Enumeration date
03/20/2018
Last updated
03/21/2018
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