Waterman Dermatology, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS4781 Issued in FL

Legal business name

WATERMAN DERMATOLOGY, PA

Practice address

600 S Pine Island Rd
Suite 102
Plantation, FL 33324-3166

Phone

(954) 473-2078

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary L Waterman, DO

Title

Doctor

Phone

(954) 473-2078

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Fitzmaurice, PA

  • Physician Assistant
  • Lake Mary, FL
  • NPI 1194834259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790838175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166",
            "telephone_number": "954-473-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166",
            "telephone_number": "954-473-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-473-2078",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS4781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI NUMBER",
            "identifier": "1982632527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Vincent Warden, PA-C
• Dana Warman
• Valerie L. Washington, RN
• Daryl Keith Wasserman, APRN
• Wastetrans LLC (Netcare Medical)
• Randi E Waton, M.S., CCC-SLP
• Caryn Watsky-Scileppi, PHD
• Wayne J M Fraser MD PA
• WB Care Center LLC (Effective 6/30/08) (West Broward Care Center)
• We Belong Counseling Inc

• Specialist in Plantation, FL
• Providers in Plantation, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.