Organization Active NPI

Raquel S Watkins MD PLLC

  • Allergy & Immunology Physician
  • Jacksonville, FL
National Provider Identifier
1902344427
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
RAQUEL S WATKINS MD PLLC
Practice address
13241 Bartram Park Blvd
Suite 2601
Jacksonville, FL 32258-5212
Phone
(904) 382-3298
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raquel Watkins, M.D.
Title
Member
Phone
(904) 382-3298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

13241 Bartram Park Blvd
Suite 2601
Jacksonville, FL 32258-5212

Mailing address

PO Box 551109
Jacksonville, FL 32255-1109
Phone (904) 382-3298

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1902344427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551109",
            "telephone_number": "904-382-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "SUITE 2601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585212",
            "telephone_number": "904-382-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL S WATKINS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "904-382-3298",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.