Individual
MR. JASON SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4302 ALTON RD, SUITE 705, MIAMI BEACH, FL 33140-2891
(305) 534-8480
Mailing address
2100 N OCEAN BLVD APT 504, FORT LAUDERDALE, FL 33305-1935
(954) 303-5383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108213
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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