Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Neda Ruth Watanabe, PA-C

Individual provider Physician Assistant · NPI 1114323490

Mrs. Neda Ruth Watanabe, PA-C is a Physician Assistant in Fleming Island, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816
Phone: (904) 264-1958
Fax: (904) 264-1677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2800 N 6th St # 5133, Saint Augustine, FL 32084-1920 — (904) 478-8021

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108361 (FL)

Record details

NPI number1114323490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 13, 2014
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

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