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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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