Gifford, Jason C.

Gifford, Jason C. is an individual health care provider with primary practice located at 6006 49Th St N Ste 310 , Saint Petersburg FL 33709-2149. 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. Gifford, Jason C. can be contacted via phone (727) 527-9779.

Contact Information

Primary practice address
6006 49Th St N Ste 310 Saint Petersburg FL 33709-2149
Phone: (727) 527-9779
Fax: (727) 522-0415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110358 Florida

Profile Details

NPI number 1558594606
LBN Legal business name Gifford, Jason C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2009
Last updated Feb 10th, 2022 - about 4 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 1558594606 NPPES
Kansas MEDICAID 200617250A

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