Individual
JONATHAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
265 E ROLLINS ST, ORLANDO, FL 32804-5502
(407) 303-8280
Mailing address
1523 ELF STONE CT, CASSELBERRY, FL 32707-5938
(561) 914-0989
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT43140
FL
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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