Individual
DONALD R WATREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N DIXIE HWY, SUITE 102, WEST PALM BEACH, FL 33401
(561) 655-8990
(561) 655-9684
Mailing address
1500 N DIXIE HWY, SUITE 102, WEST PALM BEACH, FL 33401
(561) 655-8990
(561) 655-9684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME63366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188393
RR MEDICARE
—
01
—
18608A
MEDICARE ID
—
Enumeration date
09/26/2006
Last updated
10/06/2011
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