Individual
MR. EDWARD WILLIAM WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6938 DAYTON RD, JACKSONVILLE, FL 32210-2763
(904) 210-0085
(904) 693-0360
Mailing address
6938 DAYTON RD, JACKSONVILLE, FL 32210-2763
(904) 210-0085
(904) 693-0360
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
242841
FL
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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