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Organization
PANHANDLE RURAL HEALTH & PRIMARY CARE INC
Active
Organization
PANHANDLE RURAL HEALTH & PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GILBERT WATSON JR. APRN (OWNER/PROVIDER)
(850) 353-7689
Entity
Organization
Contact information
Practice address
20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
(850) 353-7689
(850) 674-8889
Mailing address
20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
(850) 353-7689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/28/2020
Last updated
02/09/2024
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