Individual
JOSEPH E WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(256) 504-4165
Mailing address
12802 TAMPA OAKS BLVD STE 300, TEMPLE TERRACE, FL 33637-1903
(855) 687-0618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112435
FL
363A00000X
Physician Assistant
PA.1143
AL
Other
Enumeration date
05/04/2016
Last updated
10/26/2020
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