Individual
COLLETTE WEBSTER-WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6002 POINTE WEST BLVD, BRADENTON, FL 34209-5531
(941) 792-2020
(941) 782-1089
Mailing address
6002 POINTE WEST BLVD, BRADENTON, FL 34209-5531
(941) 792-2020
(941) 782-1089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291793900
—
FL
Enumeration date
07/31/2006
Last updated
08/23/2010
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