Waters, Lynn Michael

Waters, Lynn Michael is an individual health care provider with primary practice located at 3839 County Road 218 , Middleburg FL 32068-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waters, Lynn Michael can be contacted via phone (904) 282-5474.

Contact Information

Primary practice address
3839 County Road 218 Middleburg FL 32068-5708
Phone: (904) 282-5474
Fax: (904) 282-5824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS10513 Florida

Profile Details

NPI number 1487840633
LBN Legal business name Waters, Lynn Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Jan 18th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487840633 NPPES
Florida Other 1488L BCBS
Florida MEDICAID 002290100 BCBS
Florida MEDICAID 003126257A BCBS

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