# JASON G RABINOWITZ OD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811670391
- **Authorized official:** TRACEY J MURPHY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (800) 353-5420

## Contact information

- **Practice address:** 101 HOWLAND BLVD, DELTONA, FL 32738-9200
- **Practice address phone:** (407) 328-9380
- **Mailing address:** 5221 PIPER LN, SANFORD, FL 32771-5465
- **Mailing address phone:** (954) 461-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 01/15/2025
