Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | ME 93130 | FL |
NPI | 1215914361 |
---|---|
Provider Name | Jefferson Douglas Watts |
First Address | Orlando, FL 32818-7812 |
Second Address | The Villages, FL 32162-5847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E42649 | (02) | FL |