MEDICARE: DR. NATHAN D. WATSON DO

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	207R00000X	Internal Medicine Physician	OS14670	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184039877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN D. WATSON DO

Provider Business Mailing Address
First Line	:	7593 W BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-649-7000
Fax Number	:	888-316-2198

Provider Business Practice Location Address
First Line	:	12955 PALMS WEST DR STE 100
Second Line	:
City	:	LOXAHATCHEE
State	:	FL
Zip	:	33470-9212
Country	:	US
Telephone Number	:	561-641-2926
Fax Number	:	561-968-0660

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2014
Last Update Date	:	08/20/2024

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