Provider Demographics
NPI:1184039877
Name:WATSON, NATHAN D (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:D
Last Name:WATSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5700 LAKE WORTH RD STE 204
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3213
Mailing Address - Country:US
Mailing Address - Phone:561-649-7000
Mailing Address - Fax:888-316-2198
Practice Address - Street 1:130 JFK DR STE 130
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1141
Practice Address - Country:US
Practice Address - Phone:561-641-2926
Practice Address - Fax:561-968-0660
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-22
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS14670207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine