Individual
DR. EDWARD RAY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6660 SW 117TH AVE, MIAMI, FL 33183-2826
(305) 630-3363
(305) 630-3364
Mailing address
6660 SW 117TH AVE, MIAMI, FL 33183-2826
(305) 630-3363
(305) 630-3364
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME35674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373785300
—
FL
01
—
ME35674
STATE LICENSE
FL
Enumeration date
05/01/2007
Last updated
07/08/2007
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