Watson, John Thomas
Watson, John Thomas is an sole proprietor health care provider with primary practice located at 1729 David Walker Dr , Tavares FL 32778-5745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Watson, John Thomas can be contacted via phone (352) 508-4455.Contact Information
Primary practice address
1729 David Walker Dr
Tavares FL 32778-5745
Phone: (352) 508-4455
Fax: (844) 388-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME69265 | Florida |
Profile Details
| NPI number | 1285639047 |
|---|---|
| LBN Legal business name | Watson, John Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Oct 16th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285639047 | NPPES |
| Florida | MEDICAID | 250898200 |
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