Doctor profile · Federal record
Dr. Neda Watanabe, PA-C
Physician Assistant · Fleming Island, FL
- NPI 1114323490
- 12 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 320034816
(904) 264-1958
fax (904) 264-1677 - Additional location
-
2800 N 6Th St # 5133
Saint Augustine, FL 320841920
(904) 478-8021
fax (904) 478-8374 - Mailing address
-
1347 Ardmore St
Saint Augustine, FL 320923440
Credentials & registration
- NPI registered
- November 2014 — 12 yrs on file
- Profile last updated
- August 7, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Florida #PA9108361
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114323490. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$33
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cranial Technologies, INC | 2 | $33.19 |
By nature of payment
Frequently asked questions
What is Dr. Neda Watanabe's medical specialty?
Dr. Neda Watanabe practices Physician Assistant in Fleming Island, FL.
Where does Dr. Neda Watanabe practice?
Dr. Neda Watanabe practices at 1679 Eagle Harbor Pkwy Ste B, Fleming Island, FL 320034816. Office phone: 9042641958.
What is Dr. Neda Watanabe's NPI?
Dr. Neda Watanabe's National Provider Identifier (NPI) is 1114323490, issued by NPPES.