Organization
NORTH TAMPA ORTHOPAEDICS SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHN JASON MD (PHYSICIAN/OWNER)
(352) 683-0007
Entity
Organization
Contact information
Practice address
120 MEDICAL BLVD, SUITE 109, SPRING HILL, FL 34609-0220
(352) 683-0007
Mailing address
12212 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 683-0007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0074687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6720260001
MEDICARE PTAN
FL
Enumeration date
10/08/2008
Last updated
11/11/2013
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