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Individual

DR. LIBBY SUSAN WATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8950 N KENDALL DR, 504, MIAMI, FL 33176-2144
(305) 274-2030
(305) 279-0878
Mailing address
8950 N KENDALL DR, 504, MIAMI, FL 33176-2144
(305) 274-2030
(305) 279-0878

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME109569
FL
2086S0129X
Vascular Surgery Physician
Primary
109569
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004273400
FL
Enumeration date
02/06/2007
Last updated
03/02/2017
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