Active NPI
Peggy Watson, M.D.
- Family Medicine Physician
- Land O Lakes, FL
National Provider Identifier
1205894797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0081039
- Practice address
- 20615 Amberfield Dr
Suite 102
Land O Lakes, FL 34638-4301 - Phone
- (813) 949-2950
- Fax
- (813) 949-2924
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0081039 | FL | Primary |
Addresses
Primary practice location
20615 Amberfield Dr
Suite 102
Land O Lakes, FL 34638-4301
Mailing address
15320 Amberly Dr
Suite B
Tampa, FL 33647-1647
Phone (813) 977-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0081039 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ante Rudez MD PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1356595680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1205894797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15320 AMBERLY DR",
"address_2": "SUITE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471647",
"telephone_number": "813-977-0733",
"fax_number": "813-971-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20615 AMBERFIELD DR",
"address_2": "SUITE 102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346384301",
"telephone_number": "813-949-2950",
"fax_number": "813-949-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "PEGGY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0081039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.