Abraham, Jason Scott

Abraham, Jason Scott is an sole proprietor health care provider with primary practice located at 3030 Harden Blvd , Lakeland FL 33803-7952. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Abraham, Jason Scott can be contacted via phone (863) 687-1250.

Contact Information

Primary practice address
3030 Harden Blvd Lakeland FL 33803-7952
Phone: (863) 687-1250
Fax: (863) 687-1258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9112718 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112718 Florida

Profile Details

NPI number 1740844455
LBN Legal business name Abraham, Jason Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2019
Last updated Feb 21st, 2024 - about last year

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 1740844455 NPPES
Florida MEDICAID 111039100

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