Individual
JACQUELINE CHASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5333 N DIXIE HWY STE 109, OAKLAND PARK, FL 33334-3453
(954) 717-1919
Mailing address
1901 N OCEAN BLVD APT 10A, FORT LAUDERDALE, FL 33305-3703
(407) 353-6404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116454
FL
Other
Enumeration date
10/10/2022
Last updated
06/01/2023
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