Individual
DR. ALYSON LEE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, SHANDS HOSPITAL, DEPARTMENT OF SURGERY, GAINESVILLE, FL 32608
(352) 265-0685
Mailing address
2981 SW 91ST TER, GAINESVILLE, FL 32608-7990
(352) 333-0950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN10127
FL
2086S0129X
Vascular Surgery Physician
ME 111121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009082500
—
FL
Enumeration date
12/01/2006
Last updated
08/09/2013
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