Waters, Madeline

Waters, Madeline is an individual health care provider with primary practice located at 8787 Bryan Dairy Rd Ste 210 , Largo FL 33777-1253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Waters, Madeline can be contacted via phone (727) 397-9641.

Contact Information

Primary practice address
8787 Bryan Dairy Rd Ste 210 Largo FL 33777-1253
Phone: (727) 397-9641
Fax: (727) 393-4194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9308862 Florida

Profile Details

NPI number 1922486844
LBN Legal business name Waters, Madeline
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2015
Last updated Jul 17th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922486844 NPPES
Florida MEDICAID 015583500

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