Blackmer, Jason D

Blackmer, Jason D is an individual health care provider with primary practice located at 21 Hospital Dr Ste 110 , Palm Coast FL 32164-2453. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Blackmer, Jason D can be contacted via phone (386) 586-1910.

Contact Information

Primary practice address
21 Hospital Dr Ste 110 Palm Coast FL 32164-2453
Phone: (386) 586-1910
Fax: (386) 586-1912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108663 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108663 Florida

Profile Details

NPI number 1659750909
LBN Legal business name Blackmer, Jason D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated Apr 19th, 2022 - about 3 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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