Individual
DR. NAVDEEP SINGH JASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1417 LAKELAND HILLS BLVD STE 201, LAKELAND, FL 33805
(833) 513-7246
(863) 333-4007
Mailing address
1417 LAKELAND HILLS BLVD STE 201, LAKELAND, FL 33805-3208
(833) 513-7246
(863) 333-4007
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
273186
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME 122237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015208900
—
FL
01
—
150HR
BCBS
FL
01
—
P01510619
RR MCR
FL
Enumeration date
06/04/2011
Last updated
07/31/2019
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