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Individual

MS. SHEILA DENISE SIMMS WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.

Contact information

Practice address
17304 WALKER AVE, MIAMI, FL 33157-4389
(786) 287-0484
(305) 235-6688
Mailing address
9745 SW 161ST ST, MIAMI, FL 33157-3315
(786) 287-0484
(305) 235-6688

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW 141
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N217575
HEALTHEASE -PROVIDER #
FL
01
Y005R
BLUE CROSS PROVIDER NO
FL
Enumeration date
04/13/2007
Last updated
07/09/2007
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