Fackler, Jason Keith
Fackler, Jason Keith is an individual health care provider with primary practice located at 803 E Dixie Ave Fl 34748 , Leesburg FL 34748-6013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fackler, Jason Keith can be contacted via phone (352) 530-2256.Contact Information
Primary practice address
803 E Dixie Ave Fl 34748
Leesburg FL 34748-6013
Phone: (352) 530-2256
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | APRN11026036 | Florida |
Profile Details
| NPI number | 1609564566 |
|---|---|
| LBN Legal business name | Fackler, Jason Keith |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2023 |
| Last updated | Apr 28th, 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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