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
Fax: (850) 916-3710
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
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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