Christopher R Cromwell (NPI# 1629073382, PAC ID# 2163411216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1629073382 |
| PAC ID by PECOS | 2163411216 |
| Professional Enrollment ID | I20100512000363 |
| Full Name | Christopher R Cromwell |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
3745 11th Cir Suite 107 Vero Beach FL 32960-4838 |
| Phone Number | 7722577373 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100246 | LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE |
| 100044 | MARTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 264 Nw Peacock Blvd, St Lucie West, FL 34986-2272 | 7723232321 | WATERS EDGE DERMATOLOGY LLC |
| 3745 11th Cir, Suite 107, Vero Beach, FL 32960-4838 | 7722577373 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
3745 11TH CIR SUITE 107 |
| City | VERO BEACH |
| State | FL |
| Zip | 32960-4838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tania D Lopez | Internal Medicine | Steward Medical Group Inc | 3745 11th Cir, Suite 103, Vero Beach, FL 32960-4838 |
| Raman Ashta | Family Medicine | Steward Medical Group Inc | 3745 11th Cir, Suite 103, Vero Beach, FL 32960-4838 |
| Janet E Anderson | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 3745 11th Cir, Suite 105, Vero Beach, FL 32960-4838 |
| Ellen T Melvin | Internal Medicine | 3745 11th Cir, Suite 103, Vero Beach, FL 32960-4838 | |
| Lorraine M Childs | Nurse Practitioner | Steward Medical Group Inc | 3745 11th Cir, Suite 105, Vero Beach, FL 32960-4838 |
| Melissa L Reynolds | Cardiovascular Disease (cardiology) | 3745 11th Cir, Suite 109, Vero Beach, FL 32960-4838 | |
| Tanya Sperber | Nurse Practitioner | Waters Edge Dermatology LLC | 3745 11th Cir, Suite 107, Vero Beach, FL 32960-4838 |
| Garrick B Kantzler | Geriatric Medicine | 3745 11th Cir, Suite 107, Vero Beach, FL 32960-4838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bret A White | Chiropractic | 1635 14th Ave, Vero Beach, FL 32960-0435 | |
| Victor E Rodriguez-viera | Cardiovascular Disease (cardiology) | 1820 -43rd Ave, Suite 2, Vero Beach, FL 32960-0540 | |
| Terry L Swezey | Family Medicine | 1800 43rd Ave, A3, Vero Beach, FL 32960-0573 | |
| Robert A Mccarron | Internal Medicine | 1820 43rd Ave, Suite A, Vero Beach, FL 32960-0574 | |
| Gabrielle P Hackett | Psychologist, Clinical | 1705 19th Pl, Suite A 1c, Vero Beach, FL 32960-0686 | |
| Sheldon A Isaacson Jr. | Anesthesiology | Xenon Health of Florida LLC | 275 18th St, Suite 101, Vero Beach, FL 32960-0824 |
| Kim S Cantello-baker | Nurse Practitioner | Pramod Joseph Md LLC | 275 18th St, Suite 103, Vero Beach, FL 32960-0824 |
| Pramod Joseph | Gastroenterology | Pramod Joseph Md LLC | 275 18th St, Suite 103, Vero Beach, FL 32960-0824 |
| Adrianna M Marrese | Anesthesiology | Xenon Health of Florida LLC | 275 18th St, Suite 101, Vero Beach, FL 32960-0824 |
| Margalie C Jean Francois | Nurse Practitioner | Alec Yen Nien Lui | 275 18th St, Vero Beach, FL 32960-0824 |
| Find all physicians in zip 32960 | |||
| City | VERO BEACH |
| Zip Code | 32960 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | VERO BEACH + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.