Individual
JACK WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 VILLAGE SQUARE CROSSING, SUITE 250, PALM BEACH GARDENS, FL 33410-4551
(561) 962-0101
(561) 425-5188
Mailing address
900 VILLAGE SQUARE CROSSING, SUITE 250, PALM BEACH GARDENS, FL 33410-4551
(561) 962-0101
(561) 425-5188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS0005237
FL
Other
Enumeration date
03/22/2006
Last updated
12/20/2018
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