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Organization
WATSON CLINIC LLP
Active
Organization
WATSON CLINIC LLP
Active
Other names
Watson Clinic LLP South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HIRSBRUNNER (CHIEF EXECUTIVE OFFICER)
(863) 680-7007
Entity
Organization
Contact information
Practice address
1033 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0401
(863) 647-8011
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
02/01/2007
Last updated
03/01/2024
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