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Individual

JERETT YALE WATNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7481 W OAKLAND PARK BLVD STE 100, TAMARAC, FL 33319-4985
(954) 771-7743
(954) 771-7748
Mailing address
9552 SAVONA WINDS DR, DELRAY BEACH, FL 33446-9751
(561) 441-5925

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS15560
FL

Other

Enumeration date
04/22/2015
Last updated
01/16/2024
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