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NPI Code Detail

MEDICARE: MICHAEL D WATSON

MEDICARE:   MICHAEL D WATSON
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
1224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant

General Provider Information

NPI Number : 1609028919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL D WATSON
Provider Business Mailing Address
First Line : 120 CAMILLE CT
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-2226
Country : US
Telephone Number : 734-657-3971
Fax Number :
Provider Business Practice Location Address
First Line : 600 N WESTSHORE BLVD
Second Line : SUITE 601
City : TAMPA
State : FL
Zip : 33609-1140
Country : US
Telephone Number : 800-632-2191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2008
Last Update Date : 10/17/2008

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Directions to “ MICHAEL D WATSON ” Practice Location

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