Graduated: 2006
NPI: 1457544629
Practice Locations (2)
WATSON CLINIC LLP
2300 E COUNTY RD, 540A
LAKELAND, FL 338133825
8636073333
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.