Watson, Derial W

Watson, Derial W is an individual health care provider with primary practice located at 5401 W Kennedy Blvd Ste 100 , Tampa FL 33609-2457. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Watson, Derial W can be contacted via phone (813) 830-2776.

Contact Information

Primary practice address
5401 W Kennedy Blvd Ste 100 Tampa FL 33609-2457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X RN9516281 Florida

Profile Details

NPI number 1457012346
LBN Legal business name Watson, Derial W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2022
Last updated Jan 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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