MEDICARE: WATCH PIN CORP

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	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1255227526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATCH PIN CORP

Provider Business Mailing Address
First Line	:	4106 POMPANO LN
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-5606
Country	:	US
Telephone Number	:	941-812-0823
Fax Number	:

Provider Business Practice Location Address
First Line	:	4106 POMPANO LN
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-5606
Country	:	US
Telephone Number	:	941-812-0823
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAYMOND RAITZ
Credential	:	MD
Telephone Number	:	941-812-0823

Provider Enumeration Date	:	06/14/2025
Last Update Date	:	06/14/2025

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Directions to “WATCH PIN CORP ” Practice Location

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