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Individual
LOUIE WATKINS III
Active
Individual
LOUIE WATKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 13943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022388800
—
FL
01
—
12077515
CAQH
FL
05
—
889298900
—
FL
01
—
Y5758
FLORIDA BLUE
FL
01
—
Y905D
BCBS OF FLORIDA
FL
Enumeration date
03/23/2007
Last updated
10/28/2021
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