WATERMAN DERMATOLOGY, PA (NPI# 1790838175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790838175 |
| Entity Type | Organization |
| Organization Name | WATERMAN DERMATOLOGY, PA |
| Practice Address |
600 S Pine Island Rd Suite 102 Plantation FL 33324-3166 |
| Practice Telephone | 9544732078 |
| Mailing Telephone | 9544732078 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY L WATERMAN (DOCTOR) |
| Authorized Official Telephone | 9544732078 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OS4781 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TYPE I NPI NUMBER | 1982632527 | 01 |
| Street Address |
600 S PINE ISLAND RD SUITE 102 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497734669 | Carl Christopher Eierle | Orthopaedic Surgery | 600 S Pine Island Rd, Ste 300, Plantation, FL 33324-3166 | 2006-01-16 |
| 1881127124 | Erika Maggi | Physician Assistant | 600 S Pine Island Rd, Suite 300, Plantation, FL 33324-3166 | 2017-04-04 |
| 1124567821 | B&r Dental Florida Corporation | Dentist | 600 S Pine Island Rd, Suite 201, Plantation, FL 33324-3166 | 2017-02-15 |
| 1003358235 | Rehabclinics Pta, Inc. | Clinic/Center | 600 S Pine Island Rd, Suite 103, Plantation, FL 33324-3166 | 2016-11-04 |
| 1760936777 | Michelle Darnell | Physical Therapist | 600 S Pine Island Rd, Ste 300, Plantation, FL 33324-3166 | 2016-08-08 |
| 1548714686 | Wonmi Yoo | Physical Therapist | 600 S Pine Island Rd, Plantation, FL 33324-3166 | 2016-08-05 |
| 1417323775 | Ashley Tucker | Physical Therapist | 600 S Pine Island Rd, Suite 300, Plantation, FL 33324-3166 | 2015-08-20 |
| 1215321617 | Nst Family | Preferred Provider Organization | 600 S Pine Island Rd, Suite 104, Plantation, FL 33324-3166 | 2015-03-24 |
| 1780933721 | Gina Gotkin | Nurse Practitioner | 600 S Pine Island Rd, Plantation, FL 33324-3166 | 2012-09-06 |
| 1649546870 | Monique Lee Jaquith | Physician Assistant | 600 S Pine Island Rd, Suite 104, Plantation, FL 33324-3166 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| 1982258786 | Berlinda Renee' Good | Specialist | 461 Nw 78th Ave, Plantation, FL 33324-1952 | 2019-07-30 |
| 1740711563 | Elit Bensimon Hadad | Specialist | 201 Nw 107th Ave, Plantation, FL 33324-1751 | 2017-03-23 |
| 1386069029 | Omni Orthopedic & Spine Center, Inc | Specialist | 1222 N University Dr, Plantation, FL 33322-4724 | 2014-03-04 |
| 1689956237 | Jabal Uffelman, Md Pa | Specialist | 6919 West Broward Blvd, Suite 218, Plantation, FL 33312 | 2011-09-09 |
| 1407186398 | Bret Leslie Sharf | Specialist | 4101 Nw 4th St Ste 104, Plantation, FL 33317 | 2009-12-28 |
| 1316272297 | Marcel Joseph Berube Jr. | Specialist | 113 Sw 128th Ave, Plantation, FL 33325-2303 | 2009-10-09 |
| 1275781080 | Warren Mark Greenberg I | Specialist | 9400 Sea Turtle Ln, Plantation, FL 33324-2926 | 2008-09-04 |
| 1124299649 | David A Blum M D P A | Specialist | 301 Nw 84th Avenue, Suite 303, Plantation, FL 33324 | 2008-03-13 |
| 1134334162 | Shaleen Konstantin | Specialist | 1852 N Nob Hill Rd, Plantation, FL 33322-6548 | 2007-05-12 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.