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Contact Information

CHAD C WATKINS, DPM
914 EAST DIXIE AVE
LEESBURG, FL34748
 Phone: 352-805-4317
 Fax: 352-805-4298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHAD C WATKINS · (Male)

NPI # 1174514194
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/31/2005
Last updated 09/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO2769
  • FL Medicaid 390469500
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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