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Deactivated NPI 1336110105 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel P Watkins , DC

Chiropractor • Ft Myers, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Watkins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2006
NPI Deactivation Date October 09, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Watkins, DC was a registered Chiropractor practicing in Ft Myers, FL. Throughout an active medical career spanning 19 years, Dr. Watkins provided care at the practice location at 2214 CLEVELAND AVE until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

2214 Cleveland Ave

Ft Myers, FL 33901

Telephone 2393346418
Fax 2393347081
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Ft Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Ft Myers, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH1304

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jim Moretz

Massage Therapist

NPI 1194927954
NPI 1770561557

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2214 CLEVELAND AVE, FT MYERS, FL 33901 (Tel: 2393346418)

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Updated Business Mailing Address July 08, 2007

Registered at 2214 CLEVELAND AVE, FT MYERS, FL 33901 (Tel: 2393346418)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL WATKINS, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CH1304 in FL)

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Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336110105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: July 08, 2007
Deactivation Date: October 09, 2025

Mailing Address

2214 Cleveland Ave

Ft Myers, FL 33901

Phone: 2393346418

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.