# PANHANDLE RURAL HEALTH & PRIMARY CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588295752
- **Authorized official:** DR. RONALD GILBERT WATSON JR. APRN (OWNER/PROVIDER)
- **Authorized official phone:** (850) 353-7689

## Contact information

- **Practice address:** 20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
- **Practice address phone:** (850) 353-7689
- **Practice address fax:** (850) 674-8889
- **Mailing address:** 20274 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1957
- **Mailing address phone:** (850) 353-7689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 02/09/2024