Gould, Jason Lauren

Gould, Jason Lauren is an individual health care provider with primary practice located at 1801 W Sample Rd Ste 101 , Deerfield Beach FL 33064-1370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Gould, Jason Lauren can be contacted via phone (954) 888-3508.

Contact Information

Primary practice address
1801 W Sample Rd Ste 101 Deerfield Beach FL 33064-1370
Phone: (954) 888-3508
Fax: (954) 784-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X ME144817 Florida

Profile Details

NPI number 1164616314
LBN Legal business name Gould, Jason Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Apr 3rd, 2024 - about 2 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 1164616314 NPPES
New York Other 243507 NYS LICENSE NUMBER

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