Edward Waters University
Edward Waters University is a Sports Medicine (Family Medicine) Physician in Jacksonville, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1658 Kings RdJacksonville, FL 32209-6167
Phone: (972) 367-4845
Fax: (972) 367-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X |
|---|
Record details
| NPI number | 1609596592 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Ceo/Administrator · (972) 367-4845 |
| Other names | Ewc Sports Medicine |
| NPI enumerated | August 31, 2022 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 29, 2022 |
| Mailing address | 15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415 |
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