Provider Demographics
NPI:1497712400
Name:WATERFIELD, JANET ANN (AP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:WATERFIELD
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7288 BEDLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-8001
Mailing Address - Country:US
Mailing Address - Phone:786-457-4325
Mailing Address - Fax:
Practice Address - Street 1:7288 BEDLINGTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-8001
Practice Address - Country:US
Practice Address - Phone:786-457-4325
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1265171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist