Dimascio, Jeffrey

Dimascio, Jeffrey is an individual health care provider with primary practice located at 14546 Old Saint Augustine Rd Bldg A Suite 317, Jacksonville FL 32258-5468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dimascio, Jeffrey can be contacted via phone (904) 739-7779.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd Bldg A Suite 317 Jacksonville FL 32258-5468
Phone: (904) 739-7779
Fax: (904) 739-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X OS 9460 Florida

Profile Details

NPI number 1679578595
LBN Legal business name Dimascio, Jeffrey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 6th, 2013 - about 11 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 1679578595 NPPES
Florida Other 16028A BCBS
Florida MEDICAID 272676900 BCBS
Florida Other 299129 BCBS
Florida Other 7799487 BCBS

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