| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 10/06/2011 |
| Medicare PECOS PAC ID | 2264690403 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114028487 PECOS PAC ID: 0244498491 Enrollment ID: I20120220000997 |
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