Organization
WATER'S EDGE DERMATOLOGY, LLC
Active
Other names
Water's Edge Dermatology, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DAVIS AUTHORIZED OFFICIAL (DIR BILLING OPERATIONS)
(561) 693-0540
Entity
Organization
Contact information
Practice address
600 VILLAGE SQUARE XING, SUITE 201, PALM BEACH GARDENS, FL 33410-4542
(561) 721-2400
(561) 721-1249
Mailing address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4542
(561) 721-2400
(561) 721-1249
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800019024
FL
Other
Enumeration date
05/08/2006
Last updated
01/27/2016
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