LAURENCE OCTAVIUS WATKINS MD NPI 1184661209

NPI Information

NPI: 1184661209
Provider Name: LAURENCE OCTAVIUS WATKINS, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1801 SE HILLMOOR DRIVE
C208
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 337-5083
Get Directions

Laurence Octavius Watkins, MD is a cardiovascular disease internal medicine in Port St Lucie, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Laurence Octavius Watkins, MD NPI is 1184661209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 SE HILLMOOR DRIVE
C208
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 337-5083
Fax: (772) 337-5088

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	ME1300007	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D42037	MEDICARE UPIN
2	042099900	MEDICAID	FLORIDA
3	P00174268	OTHER		RR MEDICARE
4	61473	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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