Individual
DR. SCOTT RICHARD JASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1808 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8931
(904) 725-2121
Mailing address
1808 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8931
(904) 725-2121
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO289896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65727
BLUE CROSS BLUE SHIELD ID
FL
Enumeration date
10/20/2005
Last updated
04/25/2013
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