Individual
DR. PATRICIA ANN JASIONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
329 NOKOMIS AVE S, VENICE, FL 34285-2418
(941) 484-9718
(941) 485-6314
Mailing address
329 NOKOMIS AVE S, VENICE, FL 34285-2418
(941) 484-9718
(941) 485-6314
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0040086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58376
BLUE CROSS/SHIELD
—
01
—
592326366
PPO
—
01
—
FS0988160
TRICARE
—
Enumeration date
09/27/2006
Last updated
02/28/2013
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