Individual
JASON NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 SW 19TH AVENUE RD, OCALA, FL 34471-7757
(352) 629-9100
Mailing address
3001 SW 24TH AVE APT 1814, OCALA, FL 34471-7839
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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