Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME101580 | FL |
N | 2080P0201X | Pediatric Allergist | ME101580 | FL |
NPI | 1205036084 |
---|---|
Provider Name | Dr. Raquel S Watkins |
First Address | Jacksonville, FL 32256-6004 |
Second Address | Jacksonville, FL 32258-5219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 09/03/2020 |