OrganizationActive
Water'S Edge Dermatology, LLC
NPI 1134148992 · Dermatology Physician · Palm Beach Gardens, FL
Provider details
- NPI number
- 1134148992
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Davis, Dir. Billing Ops(561) 693-0540
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Village Square Crossing
Palm Beach Gardens, FL 33410
Phone: (561) 694-9493
Fax: (561) 694-9064
Street-level locationGet directions
Mailing address
600 Village Square Crossing
Palm Beach Gardens, FL 33410
Other names (DBA / former)
- Former legal business name
- Water'S Edge Dermatology, Inc
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2015-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.