Individual provider · Type 1 NPI

Alicia Michelle Waters, MD

Pediatric Surgery Physician · Tampa, FL

NPI number 1962792770 Active

Practice location

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Mailing address

3941 Versailles Dr
Tampa, FL 33634-7492

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X32188 (AL)
Pediatric Surgery Physician Primary 2086S0120X32188 (AL)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1962792770

Alicia Michelle Waters, MD's National Provider Identifier is 1962792770, issued on Apr 13, 2011. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Tampa, FL. The record was last updated on Jul 15, 2025.