Dr Mark Raymond Watson PA

NPI #1730430877 in Titusville, Florida

Provider Information

NPI Number: 1730430877
Entity Type: Organization
Organization Name: Dr Mark Raymond Watson PA
Primary Specialty: Optometrist
Enumeration Date: Sep 28, 2012
Last Updated: Sep 24, 2014

Practice Location

Address: 3175 CHENEY HWY
City: Titusville
State: Florida
ZIP Code: 32780-5979
Phone: (321) 383-8040

Authorized Official

Name: DR. MARK RAYMOND WATSON, OD
Title: PRESIDENT
Phone: (321) 383-8040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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