Provider Demographics
NPI:1518075407
Name:WATSON, DOROTHY LEMORE (ARNPC)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:LEMORE
Last Name:WATSON
Suffix:
Gender:F
Credentials:ARNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 SW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-9497
Mailing Address - Country:US
Mailing Address - Phone:352-329-1800
Mailing Address - Fax:352-329-1810
Practice Address - Street 1:2400 MAITLAND CENTER PKWY STE 310
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7442
Practice Address - Country:US
Practice Address - Phone:352-329-1800
Practice Address - Fax:352-329-1810
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1638992363LA2200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306548100Medicaid
FLE7813ZMedicare ID - Type Unspecified
FL306548100Medicaid