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NPI Profile for WATERS EDGE DERMATOLOGY GLOBAL LLC in STUART, FL.
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI # | 1356898324 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/07/2016 | |
| Last updated | 09/07/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WATERS EDGE DERMATOLOGY GLOBAL LLC