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Contact Information

WATER'S EDGE DERMATOLOGY, LLC
600 VILLAGE SQUARE CROSSING
PALM BEACH GARDENS, FL33410
 Phone: 561-694-9493
 Fax: 561-694-9064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for WATERS EDGE DERMATOLOGY LLC · (Female)

NPI Number 1134148992
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2006
Last updated 12/11/2015 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other 38243 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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