Search › Florida › 122300000X
Jenna Vandewater
NPI 1558983429 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4500 N Hiatus Rd Ste 202
Sunrise, FL 33351 - Phone
- (866) 988-4504
Additional practice sites
- 1 Kneeland St, Boston, MA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida