MEDICARE: MICHAEL DENNIS WATSON 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	207X00000X	Orthopaedic Surgery Physician	036082146	IL
2	207X00000X	Orthopaedic Surgery Physician	ME134541	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	:	1598778789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DENNIS WATSON MD

Provider Business Mailing Address
First Line	:	4409 SUN N LAKE BLVD
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2170
Country	:	US
Telephone Number	:	863-402-3480
Fax Number	:	863-402-3483

Provider Business Practice Location Address
First Line	:	4409 SUN N LAKE BLVD
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2170
Country	:	US
Telephone Number	:	863-402-3480
Fax Number	:	863-402-3483

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	02/04/2020

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