Watson Clinic Llp Bartow | |
2250 Osprey Blvd Suite 100 Bartow FL 33830-4340 | |
(863) 533-7151 | |
Not Available |
Full Name | Watson Clinic Llp Bartow |
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Speciality | Family Medicine |
Location | 2250 Osprey Blvd, Bartow, Florida |
Authorized Official Name and Position | Jason Hirsbrunner (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8636807007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Watson Clinic Llp Bartow 1600 Lakeland Hills Blvd Lakeland FL 33805-3019 Ph: (863) 680-7000 | Watson Clinic Llp Bartow 2250 Osprey Blvd Suite 100 Bartow FL 33830-4340 Ph: (863) 533-7151 |
NPI Number | 1518005966 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 03/01/2024 |
Medicare PECOS PAC ID | 1456258979 |
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Medicare Enrollment ID | O20100930069403 |
Identifier | Type | State | Issuer |
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1518005966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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