Individual
MRS. STEPHANIE C WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
107 SOUTHERN OAKS DR, PLANT CITY, FL 33563-1451
(813) 659-0119
(813) 719-3298
Mailing address
107 SOUTHERN OAKS DR, PLANT CITY, FL 33563-1451
(813) 659-0119
(813) 719-3298
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4631
FL
Other
Enumeration date
05/01/2007
Last updated
07/21/2008
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