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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841272325 | NPPES |
| Florida | MEDICAID | 048222600 |
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