Boardman, Jason Andrew

Boardman, Jason Andrew is an individual health care provider with primary practice located at 1919 E Hwy 50 Ste 201 , Clermont FL 34711-1975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boardman, Jason Andrew can be contacted via phone (352) 243-2622.

Contact Information

Primary practice address
1919 E Hwy 50 Ste 201 Clermont FL 34711-1975
Phone: (352) 243-2622
Fax: (352) 243-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME92559 Florida

Profile Details

NPI number 1174745962
LBN Legal business name Boardman, Jason Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Mar 13th, 2024 - about last year

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 1174745962 NPPES
Florida Other 7460692 AETNA PROVIDER NUMBER
Florida Other 03417 AETNA PROVIDER NUMBER
Florida MEDICAID 279419500 AETNA PROVIDER NUMBER
Florida Other 1174745962 AETNA PROVIDER NUMBER

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