Organization Name: | WATERMAN DERMATOLOGY, PA |
NPI Number: | 1790838175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY L WATERMAN (DOCTOR) |
Mailing Address: | 600 S Pine Island Rd Suite 102 Plantation |
State: | FL US |
Postal Code: | 333243166 |
Phone Number: | 9544732078 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OS4781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |