Donald R Watren Md, Pa | |
1500 N Dixie Hwy Suite 102 West Palm Beach FL 33401-2712 | |
(561) 655-8990 | |
(561) 655-9684 |
Full Name | Donald R Watren Md, Pa |
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Speciality | Clinic/Center |
Location | 1500 N Dixie Hwy, West Palm Beach, Florida |
Authorized Official Name and Position | Donald R Watren (PRESIDENT) |
Authorized Official Contact | 5616558990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Donald R Watren Md, Pa 1500 N Dixie Hwy Suite 102 West Palm Beach FL 33401-2712 Ph: (561) 655-8990 | Donald R Watren Md, Pa 1500 N Dixie Hwy Suite 102 West Palm Beach FL 33401-2712 Ph: (561) 655-8990 |
NPI Number | 1528350832 |
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Provider Enumeration Date | 05/04/2011 |
Last Update Date | 10/06/2011 |
Medicare PECOS PAC ID | 2264690403 |
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Medicare Enrollment ID | O20120220000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528350832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME63366 (Florida) | Primary |
Provider Name | Donald R Watren |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114028487 PECOS PAC ID: 0244498491 Enrollment ID: I20120220000997 |
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