1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Surgery
  6. NPI Profile

WATSON CLINIC LLP
NPI 1063379600
Surgery in Lakeland, FL

Active since January 06, 2026CLIA Certified · 10 labs
4060 LAKELAND HIGHLANDS ROAD, LAKELAND, FL 33812(863) 680-7000 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Jan 6, 2026 (2 updates tracked since 2026).

About Watson Clinic Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATSON CLINIC LLP (NPI 1063379600) is a healthcare organization registered as a surgery in Lakeland, Florida and active in the NPI registry since January 2026. The organization holds 10 active CLIA laboratory certificates and lists Jason Hirsbrunner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063379600
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameWATSON CLINIC LLP
Location Address4060 LAKELAND HIGHLANDS ROADLakeland, FL 33812
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3065 · (863) 680-7000 · Fax (866) 264-8519
Phone(863) 680-7000
Organization SubpartNo
Authorized OfficialJason HirsbrunnerCeo · (863) 680-7007
Enumeration DateJanuary 6, 2026
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1063379600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4060 LAKELAND HIGHLANDS ROAD, Lakeland, FL 33812
Open in Google Maps ↗

Other Names 1

Other NameWatson Clinic Parkway Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 10

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2006855

Watson Clinic LLP · Lakeland, FL
Active · expires May 2, 2028
CLIA Number10D2006855
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorDr. Taylor M. Cook
Laboratory Phone(863) 680-7475
Laboratory LocationWatson Clinic LLP4060 Lakeland Highlands Rd, Lakeland, FL 33812
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 10D0292708

Watson Clinic LLP · Lakeland, FL
Active · expires Feb 9, 2028
CLIA Number10D0292708
Laboratory TypeIndependent
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Diana S. Braswell
Laboratory Phone(863) 680-7166
Laboratory LocationWatson Clinic LLP1600 Lakeland Hills Blvd, Lakeland, FL 33805
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0901596

Watson Clinic LLP Department Of Urology · Lakeland, FL
Active · expires May 31, 2027
CLIA Number10D0901596
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorGenesis Nieves
Laboratory Phone(863) 680-7475
Laboratory LocationWatson Clinic LLP Department Of Urology4060 Lakeland Highlands Rd, Lakeland, FL 33812
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 10D0901598

Watson Clinic LLP Department Of Medicine · Lakeland, FL
Active · expires May 31, 2027
CLIA Number10D0901598
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorRichard A. Dudrak
Laboratory Phone(863) 680-7166
Laboratory LocationWatson Clinic LLP Department Of Medicine1600 Lakeland Hills Blvd, Lakeland, FL 33805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2344225

Watson Clinic ASC LLC Dba Watson Clinic Surgery Center South · Lakeland, FL
Active · expires May 18, 2028
CLIA Number10D2344225
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorNicolette A. Williams
Laboratory Phone(863) 683-2428
Laboratory LocationWatson Clinic ASC LLC Dba Watson Clinic Surgery Center South4050 Lakeland Highlands Road, Lakeland, FL 33812
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2303622

Watson Clinic ASC LLC · Lakeland, FL
Active · expires Apr 28, 2028
CLIA Number10D2303622
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorDr. Pranay Patel
Laboratory Phone(863) 680-7475
Laboratory LocationWatson Clinic ASC LLC1315 N Florida Ave, Lakeland, FL 33805
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE LINDSEY CHANG APRN
Nurse Practitioner (Family)
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7000
MONA EL-GAYAR MD
Obstetrics & Gynecology
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7000
ARIN R STEPHENS PA
Physician Assistant
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7000
IMRAN GRUHONJIC DO
Orthopaedic Surgery
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7214
DR. JOSEPHINE M.C. SHINN MD
Surgery
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7486
PETER KAZMIER MD
Orthopaedic Surgery (Orthopaedic Trauma)
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7000
SAMANTHA JOANN CURTIS MD
Obstetrics & Gynecology
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7000
GENESIS MERCY NIEVES MD
Urology
4060 LAKELAND HIGHLANDS ROAD
LAKELAND, FL 33812
Polk County (863) 680-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Watson Clinic LLP's NPI number?

The NPI number for Watson Clinic LLP is 1063379600. It was assigned to this organization in the NPPES registry on January 6, 2026. The provider is also known as Watson Clinic Parkway Medical Center.

Where is Watson Clinic LLP located?

Watson Clinic LLP is located at 4060 Lakeland Highlands Road, Lakeland, FL 33812. The listed phone number is (863) 680-7000.

What is Watson Clinic LLP's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Watson Clinic LLP hold CLIA laboratory certificates?

Yes. 10 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Watson Clinic LLP was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.