Individual
MR. DERIAL W WATSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 W KENNEDY BLVD STE 100, TAMPA, FL 33609-2457
(813) 830-2776
Mailing address
5401 W KENNEDY BLVD STE 100, TAMPA, FL 33609-2457
(813) 830-2776
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9516281
FL
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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