Jack Waterman, DO | |
900 Village Square Crossing, Suite 250, Palm Beach Gardens, FL 33410-4551 | |
(561) 962-0101 | |
(561) 425-5188 |
Full Name | Jack Waterman |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 900 Village Square Crossing, Palm Beach Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588623128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | OS0005237 (Florida) | Primary |
Entity Name | Nephrology Services Of Jupiter Medical Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992239149 PECOS PAC ID: 7911280466 Enrollment ID: O20170916000050 |
Mailing Address | Practice Location Address |
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Jack Waterman, DO 900 Village Square Crossing, Suite 250, Palm Beach Gardens, FL 33410-4551 Ph: (561) 962-0101 | Jack Waterman, DO 900 Village Square Crossing, Suite 250, Palm Beach Gardens, FL 33410-4551 Ph: (561) 962-0101 |
Dr. Sreedhar Chintala, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3360 Burns Rd, Gun Hill Road, Palm Beach Gardens, FL 33410 Phone: 561-622-1411 | |
Dr. Eduardo J Sequeira, MD Nephrology Medicare: Medicare Enrolled Practice Location: 79 Satinwood Ln, Palm Beach Gardens, FL 33410 Phone: 561-889-7927 Fax: 772-882-4931 | |
Dr. Rui Paulo Cerejo, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7108 Fairway Dr Ste 300, Palm Beach Gardens, FL 33418 Phone: 561-626-9696 Fax: 561-626-2264 | |
Dr. Jose Antonio Deolazabal, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3400 Burns Rd, Suite 201, Palm Beach Gardens, FL 33410 Phone: 561-694-1101 Fax: 561-694-1102 | |
Cyrus P Kavasmaneck, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3365 Burns Rd, Suite 101, Palm Beach Gardens, FL 33410 Phone: 561-775-1061 Fax: 561-775-1064 | |
Dr. Morteza Tavakol, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3365 Burns Rd, Suite 101, Palm Beach Gardens, FL 33410 Phone: 561-775-1061 Fax: 561-775-1064 | |
Dr. Edward M Jeryan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3345 Burns Rd, Suite 302, Palm Beach Gardens, FL 33410 Phone: 561-622-7661 Fax: 561-622-4651 |