John Thomas Waters, SRNA is a
Student In An Organized Health Care Education/training Program based in Orlando, Florida. John Thomas Waters is licensed to practice in * (Not Available) (license number ) and his current practice location is
52 Underwood St, Orlando, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 841-5210.
NPI number for John Thomas Waters is 1902640279 and his current mailing address is 11300 Ne 2nd Ave, Miami Shores, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902640279.
Provider's Profile
| Full Name | John Thomas Waters |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 52 Underwood St, Orlando, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902640279
- Provider Enumeration Date: 06/21/2024
- Last Update Date: 06/24/2024
Medical Identifiers
Medical identifiers for John Thomas Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902640279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN9502310 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Thomas Waters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Thomas Waters, SRNA
11300 Ne 2nd Ave,
Miami Shores, FL 33161-6695
Ph: (813) 506-0341 | John Thomas Waters, SRNA
52 Underwood St,
Orlando, FL 32806-1110
Ph: (321) 841-5210 |
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