Individual
JASON L WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3951 S NOVA RD, SUITE 3, PORT ORANGE, FL 32127-9270
(386) 256-1444
(321) 400-1118
Mailing address
630 HOLLY SPRINGS TER, OVIEDO, FL 32765-5938
(386) 256-1444
(321) 400-1118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3391542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008714000
—
FL
Enumeration date
05/25/2006
Last updated
06/10/2014
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