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Organization
WATSON CLINIC LLP
Active
Organization
WATSON CLINIC LLP
Active
Other names
Watson Clinic LLP Highlands
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HIRSBRUNNER (CHIEF EXECUTIVE OFFICER)
(863) 680-7007
Entity
Organization
Contact information
Practice address
2300 E COUNTY ROAD 540A, LAKELAND, FL 33813-3825
(863) 607-3333
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053990200
—
FL
Enumeration date
01/04/2011
Last updated
03/01/2024
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