# WATSON CLINIC LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Watson Clinic LLP Center for Rehabilitative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669655155
- **Authorized official:** MR. JASON HIRSBRUNNER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (863) 680-7007

## Contact information

- **Practice address:** 1430 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3202
- **Practice address phone:** (863) 680-7700
- **Mailing address:** 1430 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3202
- **Mailing address phone:** (863) 680-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 03/01/2024