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Waterside Medical LLC

Pain Medicine (Anesthesiology) Physician in Naples, FL · enumerated 2013 · authorized official Matthew Black, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518205038

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Registry record

Entity type Organization (Type 2)
Legal business name Waterside Medical LLC
Practice address 311 9th St N, Naples, FL, 34102
Phone (239) 293-4140
Fax (239) 254-3105
Enumeration date Jan 17, 2013
Last updated in NPPES Aug 22, 2013

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License M80046 (FL) Primary

Authorized official

Name Matthew Black
Title Manager
Phone (239) 293-4140

Other identifiers

Identifier Type State Issuer
HG441A Other FL MEDICARE 855-B

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Waterside Medical LLC located?
The practice location on file with NPPES is in Naples, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-08-22.