OrganizationActive
Watson Clinic LLP Womens Center a
NPI 1336325216 · Diagnostic Radiology Physician · Lakeland, FL
Provider details
- NPI number
- 1336325216
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Hirsbrunner, Chief Executive Officer(863) 680-7007
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1400 Lakeland Hills Blvd
Lakeland, FL 33805-3202
Phone: (863) 680-7752
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.