MEDICARE: WATERWAY WELLNESS & PSYCHIATRY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1396689956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATERWAY WELLNESS & PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	11096 MONET WOODS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3214
Country	:	US
Telephone Number	:	561-352-6478
Fax Number	:

Provider Business Practice Location Address
First Line	:	11096 MONET WOODS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3214
Country	:	US
Telephone Number	:	561-352-6478
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAVIER CUMERMA
Credential	:	MSN, APRN, PMHNP-BC
Telephone Number	:	561-352-6478

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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