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:
Health care specialties
Specialty | Code | License # | 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 8 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 | 1598927071 | NPPES |
Florida | MEDICAID | 012418200 |
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