MEDICARE: DR. JOHN THOMAS WATSON M.D.

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	207Q00000X	Family Medicine Physician	ME69265	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	:	1285639047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN THOMAS WATSON M.D.

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 213
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	352-816-7289
Fax Number	:	833-495-7206

Provider Business Practice Location Address
First Line	:	1729 DAVID WALKER DR
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-5745
Country	:	US
Telephone Number	:	352-508-4455
Fax Number	:	844-388-6186

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	10/16/2018

Similar Medicare Providers

1154322915 — JAMES L. WILLIS D.O.
Practice Location Address:

1741 DAVID WALKER DR
TAVARES, FL
32778-5745

Practice Phone: 352-742-8836
Practice Fax: 352-742-8829

1073501185 — DR. SHAIK EJAZUDDIN MD
Practice Location Address:

1741 DAVID WALKER DR
TAVARES, FL
32778-5745

Practice Phone: 352-742-8836
Practice Fax:

1215908371 — DR. DENIS MANUEL DIAZ M.D.
Practice Location Address:

1765 DAVID WALKER DR
TAVARES, FL
32778-5745

Practice Phone: 352-343-3330
Practice Fax:

1396716528 — MS. DIANA N MOLDOVEANU M.D.
Practice Location Address:

1741 DAVID WALKER DR
TAVARES, FL
32778-5745

Practice Phone: 352-742-8836
Practice Fax: 352-742-8829

1669419248 — DAN ARGIN BOGGUS MD
Practice Location Address:

1755 DAVID WALKER DR
TAVARES, FL
32778-5745

Practice Phone: 352-742-8830
Practice Fax: 352-742-8826

1497795959 — MARK ROBERT ANTHONY BRITTON MD
Practice Location Address:

1741 DAVID WALKER DR
TAVARES, FL
32778-5745

Practice Phone: 352-742-8836
Practice Fax:

Directions to “ DR. JOHN THOMAS WATSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.