Individual
MRS. PETA JOLLIAN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 100, TAMPA, FL 33607-6353
(813) 397-5300
(813) 876-0590
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11014065
FL
Other
Enumeration date
07/03/2021
Last updated
02/13/2024
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