Individual
JASON JAMES SALOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAT9104791
FL
363AS0400X
Surgical Physician Assistant
Primary
2360
CT
363AS0400X
Surgical Physician Assistant
PAT9104791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360
LICENSE
CT
Enumeration date
10/10/2008
Last updated
12/29/2009
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