Watkins, Laurence Octavius

Watkins, Laurence Octavius is an individual health care provider with primary practice located at 1801 Se Hillmoor Drive C208, Port St Lucie FL 34952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Watkins, Laurence Octavius can be contacted via phone (772) 337-5083.

Contact Information

Primary practice address
1801 Se Hillmoor Drive C208 Port St Lucie FL 34952
Phone: (772) 337-5083
Fax: (772) 337-5088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME1300007 Florida

Profile Details

NPI number 1184661209
LBN Legal business name Watkins, Laurence Octavius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184661209 NPPES
Florida MEDICAID 042099900
Florida Other P00174268

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