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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114323490. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$33
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Cranial Technologies, Inc 2 $33.19

By nature of payment

Food and Beverage
$33

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›