Organization
WATSON CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HIRSBRUNNER (CHIEF EXECUTIVE OFFICER)
(863) 680-7007
Entity
Organization
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800000227
FL
Other
Enumeration date
02/01/2007
Last updated
03/01/2024
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