Provider Demographics
NPI:1922370089
Name:WATSON-DOSTER, ASHLEY MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MARIE
Last Name:WATSON-DOSTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10663 SW 14TH PL
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7128
Mailing Address - Country:US
Mailing Address - Phone:954-483-5938
Mailing Address - Fax:954-252-4117
Practice Address - Street 1:10663 SW 14TH PL
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-7128
Practice Address - Country:US
Practice Address - Phone:954-483-5938
Practice Address - Fax:954-252-4117
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor