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Individual

MRS. BRENDA LUCILLE HARRIS-WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 CELEBRATION PL, CELEBRATION, FL 34747
(407) 975-0406
(407) 975-0407
Mailing address
1801 LEE RD STE 165, WINTER PARK, FL 32789-2127
(407) 975-0406
(407) 975-0407

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME93727
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252838000
FL
Enumeration date
07/11/2005
Last updated
08/03/2018
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