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Contact Information

LAURENCE O WATKINS, MD
1801 SE HILLMOOR DRIVE
C208
PORT SAINT LUCIE, FL34952
 Phone: 772-337-5083
 Fax: 772-337-5088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAURENCE O WATKINS · (Male)

NPI Number 1184661209
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME1300007
  • FL Medicaid 042099900
  • Other P00174268 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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