| Watson Healthcare Llc | |
|
506 4th St Nw Jasper FL 32052-6603 | |
| (386) 792-0700 | |
| (386) 406-8370 |
| Full Name | Watson Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 4th St Nw, Jasper, Florida |
| Authorized Official Name and Position | Jennifer Watson (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3867920700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watson Healthcare Llc 506 4th St Nw Jasper FL 32052-6603 Ph: (386) 792-0700 | Watson Healthcare Llc 506 4th St Nw Jasper FL 32052-6603 Ph: (386) 792-0700 |
| NPI Number | 1548872609 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 2264843275 |
|---|---|
| Medicare Enrollment ID | O20201124000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548872609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James E Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659637312 PECOS PAC ID: 0446407100 Enrollment ID: I20201124001034 |
| Provider Name | Hannah Altman Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831940063 PECOS PAC ID: 4082054465 Enrollment ID: I20240502000884 |
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