Provider Demographics
NPI:1922252097
Name:WATTS, COLIN LOREN (MD)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:LOREN
Last Name:WATTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6557
Mailing Address - Country:US
Mailing Address - Phone:407-703-9990
Mailing Address - Fax:407-703-9991
Practice Address - Street 1:701 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6557
Practice Address - Country:US
Practice Address - Phone:407-703-9990
Practice Address - Fax:407-703-9991
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIW 320 122 546 711207R00000X
FLME114441207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty