Individual
JEFFERSON DOUGLAS WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8485 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5847
(352) 753-1727
(352) 753-7567
Mailing address
6336 W COLONIAL DR, ORLANDO, FL 32818-7812
(407) 447-4283
(407) 447-4274
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME 93130
FL
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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