Individual
DR. JASON SCIMEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8758
(904) 306-9884
Mailing address
PO BOX 44008, UFJP-PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
243668
NY
208000000X
Pediatrics Physician
ME110705
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME110705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111437A
—
GA
05
—
003836800
—
FL
01
—
14F39
BCBSFL
FL
Enumeration date
04/08/2008
Last updated
11/16/2011
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