Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yasmin Divine, MD

Individual provider Family Medicine Physician · NPI 1881868800

Yasmin Divine, MD is a Family Practice in Lakeland, Florida. Qualified in 2005, 21 years ago. Practices with Watson Clinic LLP, a 362-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1033 N Parkway Frontage Rd
Lakeland, FL 33803-0401
Phone: (863) 680-7000
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME111615 (FL)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence ME111615 (FL)

Record details

NPI number1881868800
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2008
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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