Individual
PETER DONALD WATRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10733 ORCHARD WALK PL W, JACKSONVILLE, FL 32257-6927
(330) 324-0935
Mailing address
10733 ORCHARD WALK PL W, JACKSONVILLE, FL 32257-6927
(330) 324-0935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9535936
FL
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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