| Doctor Name: | MRS. BRENDA LUCILLE HARRIS-WATSON |
| NPI Number: | 1770581167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ME93727 |
| Business Practice Address: | 1370 13th Ave S Suite 118 Jacksonville Beach, FL - 322503206 |
| Business Phone Number: | 9042471456 |
| Business Fax Number: | 9042472281 |
| Mailing Address: | Po Box 16568, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322456568 |
| Phone Number: | 9044722300 |
| Fax Number: | 9044722330 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 07/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | ME93727 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |