Individual
LUIS JARO JASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 26TH AVE E, BRADENTON, FL 34208-7753
(941) 782-4600
(941) 782-4601
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MA58356
NJ
2084P0800X
Psychiatry Physician
Primary
ME100060
FL
Other
Enumeration date
09/29/2006
Last updated
04/20/2016
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