Individual
DR. DANIEL JAMES JASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11966 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 844-8700
(813) 844-2397
Mailing address
11966 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 672-0408
(813) 672-4748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013376000
—
FL
Enumeration date
05/11/2006
Last updated
06/08/2015
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