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Individual
JEFFREY D WASSERMAN
Active
Individual
JEFFREY D WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS3951
FL
207R00000X
Internal Medicine Physician
Primary
OS3951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047973000
—
FL
01
—
99388
MEDICARE GROUP ASSOCIATED PTAN
FL
Enumeration date
06/10/2005
Last updated
11/20/2018
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