Lunsford, Jason Gary
Lunsford, Jason Gary is an individual health care provider with primary practice located at 1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Lunsford, Jason Gary can be contacted via phone (850) 916-3700.Contact Information
Primary practice address
1040 Gulf Breeze Pkwy Suite 200
Gulf Breeze FL 32561-7809
Phone: (850) 916-3700
Fax: (850) 916-3710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1073878 | |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9108485 | Florida |
Profile Details
NPI number | 1679628556 |
---|---|
LBN Legal business name | Lunsford, Jason Gary |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2007 |
Last updated | May 31st, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679628556 | NPPES |
Florida | Other | Y0R57 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 172374 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 014787900 | BLUE CROSS BLUE SHIELD |
Florida | Other | 593-16867 | BLUE CROSS BLUE SHIELD |
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