Watson, Edward Ray

Watson, Edward Ray is an individual health care provider with primary practice located at 6660 Sw 117Th Ave , Miami FL 33183-2826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Watson, Edward Ray can be contacted via phone (305) 630-3363.

Contact Information

Primary practice address
6660 Sw 117Th Ave Miami FL 33183-2826
Fax: (305) 630-3364
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME35674 Florida

Profile Details

NPI number 1952522864
LBN Legal business name Watson, Edward Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952522864 NPPES
Florida Other ME35674 STATE LICENSE
Florida MEDICAID 373785300 STATE LICENSE

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