Foreman, Jason Robert

Foreman, Jason Robert is an individual health care provider with primary practice located at 119 Longwood Ave , Rockledge FL 32955-2827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Foreman, Jason Robert can be contacted via phone (321) 632-6963.

Contact Information

Primary practice address
119 Longwood Ave Rockledge FL 32955-2827
Phone: (321) 632-6963
Fax: (321) 632-6983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X OS13141 Florida

Profile Details

NPI number 1902096878
LBN Legal business name Foreman, Jason Robert
Credentials D.O., M.P.H
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Aug 6th, 2015 - about 9 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 1902096878 NPPES
Florida MEDICAID 014568800

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