NPI | 1124166574 |
---|---|
Doing Business As | WATSON CLINIC LLP SOUTH |
Entity Type | Organization |
Authorized Contact | JASON HIRSBRUNNER Chief Executive Officer 863-680-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207K00000X Allergy & Immunology |
207ND0900X Dermatology, Dermatopathology | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2024-03-01 |