Provider Demographics
NPI:1750517959
Name:WATTS, JUSTIN M (MD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:M
Last Name:WATTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1120 NW 14TH ST STE 610C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:404-272-0609
Mailing Address - Fax:305-243-9161
Practice Address - Street 1:1475 NW 12TH AVE # D8-4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-8986
Practice Address - Fax:305-243-9161
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2020-02-13
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Provider Licenses
StateLicense IDTaxonomies
FLME120302207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology