Individual
CHAD C WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
914 E DIXIE AVE, LEESBURG, FL 34748-7647
(352) 805-4317
(352) 805-4298
Mailing address
914 E DIXIE AVE, LEESBURG, FL 34748-7647
(352) 805-4317
(352) 805-4298
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390469500
—
FL
Enumeration date
10/31/2005
Last updated
09/27/2018
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