MEDICARE: DR. ANTOININA WATKINS MD

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	207VG0400X	Gynecology Physician	ME89921	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	:	1528054509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTOININA WATKINS MD

Provider Business Mailing Address
First Line	:	3806 W SANTIAGO ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7812
Country	:	US
Telephone Number	:	813-277-4073
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 303
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4051
Country	:	US
Telephone Number	:	813-569-0740
Fax Number	:	813-864-7603

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	05/02/2025

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