| NPI | 1205580990 |
|---|---|
| Doing Business As | WATERS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SABENA I CYR Credentialing Manager 321-332-6947 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |