Individual
JASON GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
680 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-6738
(954) 538-6868
Mailing address
680 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-6738
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109277
FL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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