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Cecilia Watson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Cecilia Watson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1013908102
Provider Type
Individual
Full Name
Watson, Cecilia
Title
Ms.

Credential
ARNP
Gender
Female
Enumeration Date
10/29/2005
Last Updated
7/8/2007

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP981782 Florida

Provider Identifiers

ID	Description	Issuer
ID Y9703	Description Other	Issuer BLUECROSS/BLUESHIELD Florida

Cecilia Watson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wright, Brittany Nicole

Carmon, Stephanie Victoria

Hartley, Michel

Ryland, Kristen

Weinert, Danielle Suzanne

Wylie, Natasha Subhan

Keever, Jessica Lynne

Kapp, Melissa Diane

Avens, Nicole

Gaouette, Sally Anne