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NPI Code Detail

MEDICARE: MISS HAILEE WATSON B.S.

MEDICARE: MISS HAILEE WATSON B.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1033817614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HAILEE WATSON B.S.
Provider Business Mailing Address
First Line : 5707 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-4350
Country : US
Telephone Number : 813-239-8069
Fax Number : 813-231-7324
Provider Business Practice Location Address
First Line : 5800 N NEBRASKA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-7128
Country : US
Telephone Number : 813-239-8582
Fax Number : 813-231-7324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2023
Last Update Date : 02/22/2023

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Directions to “ MISS HAILEE WATSON B.S.” Practice Location

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