Waters, Susan

Waters, Susan is an individual health care provider with primary practice located at 9750 Nw 33Rd St Suite 101, Coral Springs FL 33065-4042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Waters, Susan can be contacted via phone (954) 752-9220.

Contact Information

Primary practice address
9750 Nw 33Rd St Suite 101 Coral Springs FL 33065-4042
Phone: (954) 752-9220
Fax: (954) 755-5025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME47691 Florida

Profile Details

NPI number 1841272325
LBN Legal business name Waters, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 4th, 2011 - about 15 years 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 1841272325 NPPES
Florida MEDICAID 048222600

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