Individual
MICHAEL DENNIS WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4409 SUN N LAKE BLVD, SEBRING, FL 33872-2170
(863) 402-3480
(863) 402-3483
Mailing address
4409 SUN N LAKE BLVD, SEBRING, FL 33872-2170
(863) 402-3480
(863) 402-3483
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036082146
IL
207X00000X
Orthopaedic Surgery Physician
Primary
ME134541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023630300
—
FL
Enumeration date
08/15/2006
Last updated
02/04/2020
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