Individual
MS. SHARON J. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1495 N. HARBOR CITY BLVD., MELBOURNE, FL 32935-6527
(321) 259-8928
(321) 259-6060
Mailing address
1495 N. HARBOR CITY BLVD., MELBOURNE, FL 32935-6527
(321) 259-8928
(321) 259-6060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000482200
—
FL
Enumeration date
09/24/2010
Last updated
09/24/2010
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