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Individual

MR. JASON THOMAS MEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD, LD/N

Contact information

Practice address
3210 WHEELING CT, LAND O LAKES, FL 34638-8046
(813) 787-1828
Mailing address
3210 WHEELING CT, LAND O LAKES, FL 34638-8046
(813) 787-1828

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5593
FL

Other

Enumeration date
09/21/2009
Last updated
09/21/2009
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