Skiwski, Jason Jacob

Skiwski, Jason Jacob is an individual health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Skiwski, Jason Jacob can be contacted via phone (407) 975-0410.

Contact Information

Primary practice address
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167
Phone: (407) 975-0410
Fax: (407) 975-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 64973 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME163346 Florida

Profile Details

NPI number 1992715130
LBN Legal business name Skiwski, Jason Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 20th, 2023 - about 2 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 1992715130 NPPES
Georgia MEDICAID 263645644G

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