Graduated: 2019
NPI: 1194282293
Practice Locations (2)
WATSON CLINIC LLP
1600 LAKELAND HILLS BLVD
LAKELAND, FL 338053019
8636807000
TENET FLORIDA PHYSICIAN SERVICES LLC
10900 SE 174TH PLACE RD
SUMMERFIELD, FL 344918984
3522457427
Source: CMS National Downloadable File, September 2026.