Descalso, Jason

Descalso, Jason is an individual health care provider with primary practice located at 380 Celebration Pl Fl 3 , Celebration FL 34747-4606. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Descalso, Jason can be contacted via phone (407) 303-4673.

Contact Information

Primary practice address
380 Celebration Pl Fl 3 Celebration FL 34747-4606
Phone: (407) 303-4673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104051 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104051 Florida

Profile Details

NPI number 1215090279
LBN Legal business name Descalso, Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 30th, 2023 - 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 1215090279 NPPES
Florida Other HF826A GRP PTAN QSS-SCS
Florida MEDICAID 292716100 GRP PTAN QSS-SCS

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