NPI Code Details Logo

NPI 1992779474

NPI 1992779474 : DAVID T WATSON MD : TEMPLE TERRACE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992779474
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAVID T WATSON MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/14/2006
-----------------------------------------------------
    Last Update Date     |    03/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13020 N TELECOM PKWY 
-----------------------------------------------------
    City                 |    TEMPLE TERRACE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33637-0925
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-978-9700
-----------------------------------------------------
    Fax                  |    813-558-6147
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5901 E FOWLER AVE 
-----------------------------------------------------
    City                 |    TEMPLE TERRACE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33617-2304
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-978-9700
-----------------------------------------------------
    Fax                  |    813-972-5055
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207XS0114X
-----------------------------------------------------
    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    ME94441
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207XX0801X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Trauma Physician
-----------------------------------------------------
    License Number       |    ME94441
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    ME94441
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.