Active NPI
Watson Clinic LLP
- Surgery Physician
- Lakeland, FL
National Provider Identifier
1063379600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WATSON CLINIC LLP
- Practice address
- 4060 Lakeland Highlands Road
Lakeland, FL 33812 - Phone
- (863) 680-7000
- NPI assigned
- Jan 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Hirsbrunner
- Title
- Ceo
- Phone
- (863) 680-7007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
4060 Lakeland Highlands Road
Lakeland, FL 33812
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone (863) 680-7000
Other names 1
- Watson Clinic Parkway Medical Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0901596 | Watson Clinic LLP | Provider-performed microscopy | May 31, 2027 |
| 10D2006855 | Watson Clinic LLP | Provider-performed microscopy | May 2, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Watson Clinic Brandon P
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Lakeland, FL
- NPI 1124166574
-
- Community/Retail Pharmacy
- Lakeland, FL
- NPI 1427151588
-
- Family Medicine Physician
- Bartow, FL
- NPI 1518005966
-
- Rehabilitation Clinic/Center
- Lakeland, FL
- NPI 1538634878
-
- Physical Medicine & Rehabilitation Physician
- Lakeland, FL
- NPI 1669655155
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1780988816
-
- Diagnostic Radiology Physician
- Lakeland, FL
- NPI 1336325216
-
- Plastic and Reconstructive Surgery Physician
- Lakeland, FL
- NPI 1699959197
Locations
4060 Lakelnad Highlands Rd
Lakeland, FL 33812
4060 Lakeland Highlands Rd
Lakeland, FL 33812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768348800000",
"number": "1063379600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053065",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 LAKELAND HIGHLANDS ROAD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33812",
"telephone_number": "863-680-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATSON CLINIC LLP",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A",
"authorized_official_last_name": "HIRSBRUNNER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "863-680-7007"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Watson Clinic Parkway Medical Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.