Provider Demographics
NPI:1003547472
Name:DR. FRANK WATSON, D.C., LLC
Entity Type:Organization
Organization Name:DR. FRANK WATSON, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-661-8848
Mailing Address - Street 1:4455 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2830
Mailing Address - Country:US
Mailing Address - Phone:850-974-5314
Mailing Address - Fax:850-273-7806
Practice Address - Street 1:4455 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2830
Practice Address - Country:US
Practice Address - Phone:850-974-5314
Practice Address - Fax:850-273-7806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty