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Individual

BUCHRA WATFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
330 A1A N, PONTE VEDRA BEACH, FL 32082-1823
(904) 280-0600
Mailing address
330 A1A N STE 320, PONTE VEDRA BEACH, FL 32082-1826
(904) 280-0600

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
9325341
FL

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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