Individual
JASON MITCHELL HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-2111
(770) 715-6916
Mailing address
55 ASHLAR DR, SAINT JOHNS, FL 32259-8718
(770) 715-6916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS16323
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/03/2012
Last updated
05/29/2021
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