Individual
JASON REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
105 W EMMA ST, TAMPA, FL 33603-3624
(727) 686-4498
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR238
FL
224P00000X
Prosthetist
Primary
POR238
FL
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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