Gerboc, Jason L.

Gerboc, Jason L. is an individual health care provider with primary practice located at 1210 Waterman Way , Tavares FL 32778-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gerboc, Jason L. can be contacted via phone (352) 343-2364.

Contact Information

Primary practice address
1210 Waterman Way Tavares FL 32778-5229
Phone: (352) 343-2364
Fax: (352) 343-0548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X OS012897 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X OS12668 Florida

Profile Details

NPI number 1548374325
LBN Legal business name Gerboc, Jason L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 20th, 2014 - about 10 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 1548374325 NPPES
Pennsylvania Other 2392880000 KEYSTONE IBC
Pennsylvania Other P00226465 KEYSTONE IBC
Pennsylvania MEDICAID 101228162 0002 KEYSTONE IBC
Pennsylvania Other P01092454 KEYSTONE IBC
Pennsylvania MEDICAID 1012281620001 KEYSTONE IBC
Pennsylvania Other 1724365 KEYSTONE IBC
Pennsylvania Other 8460478 KEYSTONE IBC
Pennsylvania Other 1724365 KEYSTONE IBC
Pennsylvania Other 8460478 KEYSTONE IBC

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