Provider Demographics
NPI:1386293777
Name:ACCESS HEALTH PHYSICIAN SERVICES LLC
Entity type:Organization
Organization Name:ACCESS HEALTH PHYSICIAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:WATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-208-3057
Mailing Address - Street 1:3319 S STATE ROAD 7 STE 106
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8099
Mailing Address - Country:US
Mailing Address - Phone:561-323-7979
Mailing Address - Fax:561-323-7977
Practice Address - Street 1:3319 S STATE ROAD 7 STE 106
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8099
Practice Address - Country:US
Practice Address - Phone:561-323-7979
Practice Address - Fax:561-323-7977
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS HEALTH PHYSICIAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty