Arellano, Jason Jorge

Arellano, Jason Jorge is an sole proprietor health care provider with primary practice located at 3300 E Halifax Crossing Blvd , Deltona FL 32725-2911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Arellano, Jason Jorge can be contacted via phone (386) 425-6000.

Contact Information

Primary practice address
3300 E Halifax Crossing Blvd Deltona FL 32725-2911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME140082 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 271004 New York

Profile Details

NPI number 1154693562
LBN Legal business name Arellano, Jason Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2012
Last updated Mar 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154693562 NPPES
Florida MEDICAID 105077500

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