Stack, Jason Travis

Stack, Jason Travis is an individual health care provider with primary practice located at 3955 Indian River Blvd Ste 100 , Vero Beach FL 32960-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Stack, Jason Travis can be contacted via phone (772) 569-2330.

Contact Information

Primary practice address
3955 Indian River Blvd Ste 100 Vero Beach FL 32960-4800
Phone: (772) 569-2330
Fax: (772) 569-2632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME135652 Florida
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X ME135652 Florida

Profile Details

NPI number 1164869699
LBN Legal business name Stack, Jason Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2013
Last updated Aug 8th, 2021 - about 5 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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