| Robert Watine Md Llc | |
|
3390 Tamiami Trail Ste 102 Port Charlotte FL 33952 | |
| (941) 205-3034 | |
| (941) 637-5754 |
| Full Name | Robert Watine Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3390 Tamiami Trail, Port Charlotte, Florida |
| Authorized Official Name and Position | Robert Watine (OWNER) |
| Authorized Official Contact | 9412053034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Watine Md Llc Po Box 512102 Punta Gorda FL 33951 Ph: (941) 205-3034 | Robert Watine Md Llc 3390 Tamiami Trail Ste 102 Port Charlotte FL 33952 Ph: (941) 205-3034 |
| NPI Number | 1538479498 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538479498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME51370 (Florida) | Primary |
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