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Individual

DAVID T WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6147
Mailing address
5901 E FOWLER AVE, TEMPLE TERRACE, FL 33617-2304
(813) 978-9700
(813) 972-5055

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME94441
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME94441
FL
207XX0801X
Orthopaedic Trauma Physician
ME94441
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274095800
FL
01
299512
AVMED
FL
01
32007
BC/BS
FL
01
7005764
AETNA
FL
01
8516139
CIGNA
FL
01
P00293987
MEDICARE RAILROAD
FL
Enumeration date
02/14/2006
Last updated
03/26/2025
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