RAQUEL S WATKINS MD PLLC (NPI# 1902344427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902344427 |
| Entity Type | Organization |
| Organization Name | RAQUEL S WATKINS MD PLLC |
| Practice Address |
13241 Bartram Park Blvd Suite 2601 Jacksonville FL 32258-5212 |
| Mailing Address |
Po Box 551109 Jacksonville FL 32255-1109 |
| Practice Telephone | 9043823298 |
| Mailing Telephone | 9043823298 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | RAQUEL WATKINS (MEMBER) |
| Authorized Official Telephone | 9043823298 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Street Address |
13241 BARTRAM PARK BLVD SUITE 2601 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833587 | Mark Andrew Matey | Podiatrist | 13241 Bartram Park Blvd, Suite 1809, Jacksonville, FL 32258-5227 | 2005-10-03 |
| 1942808977 | Etleva Iliazi | Nurse Practitioner | 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 | 2020-10-12 |
| 1952830093 | Lauren Kessenich | Nurse Practitioner | 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 | 2017-06-11 |
| 1497295505 | Blayne O Yerby | Physician Assistant | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2017-03-08 |
| 1366981904 | Jennifer Mooney | Nurse Practitioner | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2017-02-15 |
| 1457805756 | Pediatric Innovation Center, LLC | Pediatrics | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2016-08-04 |
| 1386097442 | Khoi M Le | Dentist | 13241 Bartram Park Blvd, Ste. 1705, Jacksonville, FL 32258-5212 | 2016-07-13 |
| 1629453246 | Julian Bungubung | Nurse Practitioner | 13241 Bartram Park Blvd, Suite 413, Jacksonville, FL 32258-5212 | 2015-07-24 |
| 1023496189 | Railing Chiropractic & Acupuncture | Chiropractor | 13241 Bartram Park Blvd, 509, Jacksonville, FL 32258-5212 | 2015-05-09 |
| 1699170035 | Physicians Group Services Pa | Family Medicine | 13241 Bartram Park Blvd, Suite 1101, Jacksonville, FL 32258-5212 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356367650 | Tracy A Sinha-khona | Allergy & Immunology | 4131 University Blvd S Ste 4a, Jacksonville, FL 32216-4322 | 2006-07-14 |
| 1578517009 | Sanjay Swami | Allergy & Immunology | 9191 R G Skinner Parkway, Suite 402, Jacksonville, FL 32256-9179 | 2006-05-20 |
| 1083668511 | First Coast Allergy and Asthma Pa | Allergy & Immunology | 9191 R.g. Skinner Parkway, Suite 402, Jacksonville, FL 32256-9179 | 2006-05-20 |
| 1255394896 | Allen Okie | Allergy & Immunology | 2345 Park St, Jacksonville, FL 32204-4317 | 2006-04-06 |
| 1497749071 | Sudhir L Prabhu | Allergy & Immunology | 4123 University Blvd S, B, Jacksonville, FL 32216-4371 | 2005-09-09 |
| 1306830989 | Paul F Wubbena Jr | Allergy & Immunology | 11267 Harbour Woods Rd S, Jacksonville, FL 32225-1504 | 2005-09-09 |
| 1346555307 | Allen Okie Md Pa | Allergy & Immunology | 2345 Park St, Jacksonville, FL 32204-4317 | 2010-08-15 |
| 1982921169 | Alexei Gonzalez Estrada | Allergy & Immunology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2010-04-27 |
| 1124283544 | Chitra Kuthiala Md Pa | Allergy & Immunology | 9765 San Jose Blvd, Suite 108, Jacksonville, FL 32257-4402 | 2008-07-24 |
| 1205036084 | Raquel S Watkins | Allergy & Immunology | 13241 Bartram Park Blvd Unit 2601, Jacksonville, FL 32258-5219 | 2007-07-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.