Organization
FREEPORT MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD GILBERT WATSON JR. APRN/CRNA (OWNER)
(850) 842-9912
Entity
Organization
Contact information
Practice address
17256 MAIN ST N STE 1, BLOUNTSTOWN, FL 32424-1775
(850) 842-9912
Mailing address
PO BOX 1033, FREEPORT, FL 32439-1033
(850) 842-9912
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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