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Water's Edge Dermatology, LLC

NPI 1134148992ActiveOrganization· Dermatology· Palm Beach Gardens, FL

Dermatology in Palm Beach Gardens, Florida, registered in NPPES in July 2006. The authorized official on file is Susan Davis, Dir. Billing Ops. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1134148992
StatusActive
Entity typeOrganization
NPI issuedJul 19, 2006
Last updated in NPPESDec 11, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

Other Dermatology providers in Palm Beach Gardens

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