Guevara, Jason Rodriguez
Guevara, Jason Rodriguez is an sole proprietor health care provider with primary practice located at 1301 Sundial Pt , Winter Springs FL 32708-6622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Guevara, Jason Rodriguez can be contacted via phone (407) 699-6009.Contact Information
Primary practice address
1301 Sundial Pt
Winter Springs FL 32708-6622
Phone: (407) 699-6009
Fax: (407) 699-6008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME106413 | Florida |
Profile Details
| NPI number | 1922339274 |
|---|---|
| LBN Legal business name | Guevara, Jason Rodriguez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2010 |
| Last updated | Aug 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922339274 | NPPES |
| Florida | MEDICAID | 002614200 |
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