Waters, Derek

Waters, Derek is an individual health care provider with primary practice located at 500 Fairway Dr Ste 102 , Deerfield Beach FL 33441-1817. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Waters, Derek can be contacted via phone (877) 418-2978.

Contact Information

Primary practice address
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817
Phone: (877) 418-2978
Fax: (866) 500-2186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1093052573
LBN Legal business name Waters, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Oct 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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