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General NPI Number Information
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NPI Number | 1780062604
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Entity Type | Individual
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Provider Name | RONALD GILBERT WATSON JR. APRN/CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 20274 CENTRAL AVE W
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City | BLOUNTSTOWN
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State | FL
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Zip | 32424-1957
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Country | US
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Telephone | 850-353-7689
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Fax | 850-674-8889
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Provider Business Mailing Address
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Address Line | 20274 CENTRAL AVE W
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City | BLOUNTSTOWN
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State | FL
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Zip | 32424-1957
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Country | US
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Telephone | 850-353-7689
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Fax | 850-674-8889
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9359305
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN9359305
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | APRN9359305
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License Number State | FL
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