Healthcare Provider Details

I. General information

NPI: 1598313256
Provider Name (Legal Business Name): CATHYLEEN WATKINS FILIPPI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12109 COUNTY ROAD 103
OXFORD FL
34484-2951
US

IV. Provider business mailing address

12109 COUNTY ROAD 103
OXFORD FL
34484-2951
US

V. Phone/Fax

Practice location:
  • Phone: 352-504-4623
  • Fax:
Mailing address:
  • Phone: 352-504-4623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11003875
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11003875
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: