Pendergraph, Jason D

Pendergraph, Jason D is an sole proprietor health care provider with primary practice located at 2441 Bellevue Ave , Daytona Beach FL 32114-5615. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pendergraph, Jason D can be contacted via phone (850) 485-4723.

Contact Information

Primary practice address
2441 Bellevue Ave Daytona Beach FL 32114-5615
Phone: (850) 485-4723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL4711 Florida

Profile Details

NPI number 1063913861
LBN Legal business name Pendergraph, Jason D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - 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.

Request for update

Popular Providers