Smook, Jason Daniel

Smook, Jason Daniel is an individual health care provider with primary practice located at 483 N Semoran Blvd Suite 103, Winter Park FL 32792-3800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smook, Jason Daniel can be contacted via phone (407) 680-2273.

Contact Information

Primary practice address
483 N Semoran Blvd Suite 103 Winter Park FL 32792-3800
Phone: (407) 680-2273
Fax: (321) 274-0224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1094 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107856 Florida

Profile Details

NPI number 1598927071
LBN Legal business name Smook, Jason Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 16th, 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 1598927071 NPPES
Florida MEDICAID 012418200

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