Frederick, Jason Stanley
Frederick, Jason Stanley is an sole proprietor health care provider with primary practice located at 3001 Palm Coast Pkwy Se , Palm Coast FL 32137-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Frederick, Jason Stanley can be contacted via phone (872) 231-3162.Contact Information
Primary practice address
3001 Palm Coast Pkwy Se
Palm Coast FL 32137-8209
Phone: (872) 231-3162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME164903 | Florida |
Profile Details
| NPI number | 1699115485 |
|---|---|
| LBN Legal business name | Frederick, Jason Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2013 |
| Last updated | Nov 25th, 2025 - 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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