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NPI Code Detail

MEDICARE: PATRICK G WATSON MD PA

MEDICARE: PATRICK G WATSON MD PA
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
1207R00000XInternal Medicine PhysicianME50511FL

General Provider Information

NPI Number : 1720258429
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICK G WATSON MD PA
Provider Business Mailing Address
First Line : 8751 N 30TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33604-2213
Country : US
Telephone Number : 813-931-0000
Fax Number : 813-909-8517
Provider Business Practice Location Address
First Line : 8751 N 30TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33604-2213
Country : US
Telephone Number : 813-931-0000
Fax Number : 813-909-8517
Authorized Official
Title or Position : BILLING MANAGER
Name : MRS. ROBYN M ROCHE
Credential :
Telephone Number : 813-931-0000
Provider Enumeration Date : 03/10/2008
Last Update Date : 01/31/2012

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