Individual
JAYSON A LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
314 N LAKE DR, LANTANA, FL 33462-2960
(813) 322-3800
(813) 322-3837
Mailing address
314 N LAKE DR, LANTANA, FL 33462-2960
(813) 322-3800
(813) 322-3837
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME72864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256879902
—
FL
Enumeration date
11/02/2005
Last updated
12/23/2025
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