MR. TIMOTHY LEE WATERS JR.


Address: 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818
Phone: 2393431105

MR. TIMOTHY LEE WATERS JR. (NPI# 1154705051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154705051
Entity Type Individual
Full Name MR. TIMOTHY LEE WATERS JR.
Credential ARNP
Practice Address 13340 Metro Pkwy Ste 400
Fort Myers
FL 33966-4818
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 2393431105
Practice Fax Number 2393431106
Mailing Telephone 2393431105
Mailing Fax Number 2393431106
Enumeration Date 2015-07-10
Last Update Date 2020-04-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner ARNP9325102 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
ARNP 9325102 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN9325102 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 016793000 05
FL CIGNA 7061863 01
FL FREEDOM P1036301 01
FL OPTIMUM P973771 01
FL AETNA 4857567 01
FL AVMED 398643 01
FL WELLCARE 1254561 01
FL RR MEDICARE P01652219 01
FL BCBS Y0SY4 01

Other Providers TIMOTHY WATERS

NPI Name Taxonomy Address Enumeration
1437696994 Timothy David Waters Counselor 66 S 360 E, American Fork, UT 84003-2590 2017-01-23
1083813885 Timothy Waters Internal Medicine 600 Northern Blvd, Albany, NY 12204-1004 2007-07-12
1952397465 Timothy Waters Physical Therapist 1441 Kapiolani Blvd, Suite 1113, Honolulu, HI 96814-4402 2005-09-21

Office Location

Street Address 13340 METRO PKWY STE 400
City FORT MYERS
State FL
Zip Code 33966-4818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689640732 Ann V Brock Physician Assistant 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2006-02-28
1770122996 Victoria Kern Physician Assistant 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2020-01-06
1205474020 Stacy Wlliam Szczygiel Jr. Physician Assistant 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2019-12-11
1356850390 Steven Stallens Hagewood Physician Assistant 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2017-09-21
1962928994 Miguel Angel Gonzalez Clinical Nurse Specialist 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2017-08-22
1376904334 Keith Alan Gillis Nurse Practitioner 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2016-03-17
1700241858 Mini Mathew Nurse Practitioner 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2015-12-16
1972988673 Maya Gopi Nurse Practitioner 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2015-07-23
1578802724 Debra J Peck Nurse Practitioner 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2013-02-07
1427382712 Dolan K Abu Aouf Physician Assistant 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2009-09-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962989566 Samarah A Al-jamali Dentist 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 2018-07-26
1932646171 Jose M Butron Behavioral Analyst 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 2017-01-26
1003276833 Katia Jasmin Robinson Lucero Social Worker 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 2016-03-07
1578947610 Christian Milanes Dentist 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 2015-07-18
1003166273 Reetane Singh Dentist 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 2012-09-14
1518216159 Lee Mental Health Center Community Based Residential Treatment Facility, Mental Illness 10140 Deer Run Farms Road, Fort Myers, FL 33966 2012-08-29
1033482724 Planned Parenthood of Southwest and Central Florida Inc. Obstetrics & Gynecology 6418 Commerce Park Drive, Fort Myers, FL 33966 2012-02-11
1013292291 J Kru Therapy LLC Dba Focus Physical Therapist 4997 Royal Gulf Cir, Fort Myers, FL 33966 2011-10-19
1528354651 American In-home Care, LLC Home Health 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 2011-06-27
1811219256 Vera Marie Rosado-odom Internal Medicine 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 2010-02-26
Find all providers in zip 33966

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790384154 Melissa Connors Nurse Practitioner 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 2020-10-18
1982202412 Amanda Shively Nurse Practitioner 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 2020-10-16
1205433828 Kenneth Midoneck Nurse Practitioner 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 2020-10-06
1881218246 Miraleen Patel Nurse Practitioner 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 2020-06-02
1194350348 Zuleima Lozada Nurse Practitioner 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 2020-03-09
1962034686 Kathleen A Shelton Nurse Practitioner 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 2020-02-11
1275173155 Optimal Healing Healthcare Services, LLC Nurse Practitioner 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 2020-01-08
1033760731 Jaclyn Mason Nurse Practitioner 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 2019-09-24
1245894419 Sonya Brielle Hayhurst Nurse Practitioner 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 2019-04-23
1083175871 Jackelin Smith Nurse Practitioner 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 2019-03-26
Find all providers in FORT MYERS

Competitor

Search similar providers

City FORT MYERS
Zip Code 33966

Improve Information

Please comment or provide details below to improve the information on MR. TIMOTHY LEE WATERS JR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches