Basic Information
Provider Information
NPI: 1811047905
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WATKINS
FirstName: JAMES
MiddleName: F
NamePrefix: DR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2699
Address2:  
City: PENSACOLA
State: FL
PostalCode: 325132699
CountryCode: US
TelephoneNumber: 8504166933
FaxNumber: 8504166934
Practice Location
Address1: 1545 AIRPORT BLVD
Address2: SUITE 2000
City: PENSACOLA
State: FL
PostalCode: 325048615
CountryCode: US
TelephoneNumber: 8504166933
FaxNumber: 8504166934
Other Information
ProviderEnumerationDate: 01/11/2007
LastUpdateDate: 02/21/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XME103567FLN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RX0202XME103567FLY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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