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General NPI Number Information
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NPI Number | 1245647593
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY CENTRES, P.A.
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 216 S APOPKA AVE STE A
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City | INVERNESS
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State | FL
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Zip | 34452
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Country | US
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Telephone | 352-341-3344
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Fax | 352-341-7700
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Provider Business Mailing Address
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Address Line | 216 S APOPKA AVE STE A
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City | INVERNESS
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State | FL
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Zip | 34452-4845
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Country | US
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Telephone | 352-341-3344
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Fax | 352-341-7700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES ROBERT WATT
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Credential | D.O.
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Telephone | 352-341-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS-0006067
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License Number State | FL
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