Blatt, Jason Elliott

Blatt, Jason Elliott is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Blatt, Jason Elliott can be contacted via phone (352) 273-9000.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1334
Fax: (352) 392-8413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD457008 Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME131977 Florida

Profile Details

NPI number 1487973111
LBN Legal business name Blatt, Jason Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2010
Last updated Mar 29th, 2021 - about 4 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 1487973111 NPPES
Florida MEDICAID 021106400

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