Individual
JASON BILLINGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4631 N CONGRESS AVE STE 205, WEST PALM BEACH, FL 33407-3209
(561) 725-0540
(866) 950-0297
Mailing address
4631 N CONGRESS AVE STE 205, WEST PALM BEACH, FL 33407-3209
(561) 725-0540
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME114075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME114075
FLORIDA MEDICAL LICENSE
FL
Enumeration date
03/31/2008
Last updated
09/25/2021
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