ELDON WATERS (NPI# 1538665336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538665336 |
| Entity Type | Individual |
| Full Name | ELDON WATERS |
| Credential | FNP |
| Practice Address |
805 E Cr 466 Lady Lake FL 32159 |
| Mailing Address |
805 County Road 466 Lady Lake FL 32159-4205 |
| Practice Telephone | 3526749218 |
| Practice Fax Number | 3522596069 |
| Mailing Telephone | 3526337852 |
| Mailing Fax Number | 3525614769 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN9385205 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9385205 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2809 Se 30th St, Ocala, FL 344710825 | 3523510887 |
| Street Address |
805 E CR 466 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891956397 | Paramount Urgent Care Inc | Clinic/Center | 805 E Cr 466, Lady Lake, FL 32159-0000 | 2008-06-18 |
| 1235784752 | Hussain Zhian | Physician Assistant | 805 E Cr 466, Lady Lake, FL 32159 | 2019-08-02 |
| 1689100802 | Mauricio Mejia | Physician Assistant | 805 E Cr 466, Lady Lake, FL 32159 | 2017-05-08 |
| 1033412358 | Wayne E Hall | Physician Assistant | 805 E Cr 466, Lady Lake, FL 32159-4205 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944987 | Oliver Calungcagin Ramoso | Nurse Practitioner | 801 Highway 466 Ste B101, Lady Lake, FL 32159-3925 | 2017-11-03 |
| 1790218501 | Dianne Elizabeth Doane-bustetter | Nurse Practitioner | 809 Highway 466 Ste 201c, Lady Lake, FL 32159-3909 | 2017-04-07 |
| 1437300373 | Janet Baker King | Nurse Practitioner | 1112 San Antonio Ln, Lady Lake, FL 32159-9306 | 2008-10-09 |
| 1649224585 | Diane Ruth Kuehnlenz | Nurse Practitioner | 8550 Ne 138th Ln Bldg 800, Lady Lake, FL 32159 | 2006-05-22 |
| 1639701154 | Sara Morris Hanly | Nurse Practitioner | 201 W Guava St, Lady Lake, FL 32159-1701 | 2020-02-12 |
| 1477104750 | Osheka Hansel | Nurse Practitioner | 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159-8987 | 2019-09-26 |
| 1346756897 | Jennifer Rosemarie Antoine | Nurse Practitioner | 8550 Ne 138th Ln, Lady Lake, FL 32159-8957 | 2017-12-20 |
| 1073051827 | Elizabeth Taylor | Nurse Practitioner | 801 Highway 466, Suite B101, Lady Lake, FL 32159-3925 | 2017-02-01 |
| 1962944660 | Christina Dada | Nurse Practitioner | 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159-8987 | 2016-11-11 |
| 1205264165 | Devin D Discala | Nurse Practitioner | 1149 Main St, Lady Lake, FL 32159-7721 | 2013-10-30 |
| Find all providers in LADY LAKE | ||||
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| 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.