MEDICARE: MRS. NEDA RUTH WATANABE PA-C

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
1	363A00000X	Physician Assistant	PA9108361	FL

General Provider Information

NPI Number	:	1114323490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NEDA RUTH WATANABE PA-C

Provider Business Mailing Address
First Line	:	1347 ARDMORE ST
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092-3440
Country	:	US
Telephone Number	:	904-860-0332
Fax Number	:

Provider Business Practice Location Address
First Line	:	1679 EAGLE HARBOR PKWY STE B
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4816
Country	:	US
Telephone Number	:	904-264-1958
Fax Number	:	904-264-1677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2014
Last Update Date	:	08/07/2023

Similar Medicare Providers

1336182039 — KENNETH J A LOWN ARNP
Practice Location Address:

1679 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL
32003-4816

Practice Phone: 904-264-1958
Practice Fax:

1407591100 — MEAGAN BEHRMAN
Practice Location Address:

1679 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL
32003-4816

Practice Phone: 904-264-1958
Practice Fax:

1225805708 — MARIA D MEEK APRN
Practice Location Address:

1679 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL
32003-4816

Practice Phone: 904-264-1958
Practice Fax:

1336128792 — DR. DAVID ROGER GRECH MD
Practice Location Address:

1679 EAGLE HARBOR PKWY STE B
ORANGE PARK, FL
32003-4816

Practice Phone: 904-375-8100
Practice Fax: 904-375-8101

1871568543 — SLEEP CARE CENTERS OF AMERICA INC
Practice Location Address:

1679 EAGLE HARBOR PARKWAY , SUITE A
ORANGE PARK, FL
32003-4816

Practice Phone: 904-215-7556
Practice Fax: 904-215-7557

1790967867 — ALLEYZEE, INC.
Practice Location Address:

1679 EAGLE HARBOR PKWY EAST , SUITE C
ORANGE PARK, FL
32003-4816

Practice Phone: 904-264-7200
Practice Fax: 904-264-7755

Directions to “ MRS. NEDA RUTH WATANABE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.