Rasband, Jeffrey Wayne
Rasband, Jeffrey Wayne is an individual health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rasband, Jeffrey Wayne can be contacted via phone (727) 825-1100.Contact Information
Primary practice address
1200 7Th Ave N
St Petersburg FL 33705-1300
Phone: (727) 825-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OS14500 | Florida |
Profile Details
| NPI number | 1912267766 |
|---|---|
| LBN Legal business name | Rasband, Jeffrey Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2012 |
| Last updated | Jan 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912267766 | NPPES |
| Florida | Other | KD088 | FL MEDICARE PTAN |
| Florida | Other | P02051001 | FL MEDICARE PTAN |
| Florida | Other | 1NE3S | FL MEDICARE PTAN |
| Florida | MEDICAID | 020737400 | FL MEDICARE PTAN |
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