Individual
JASON JON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504-8710
(850) 474-9995
(850) 477-6021
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8300
(850) 474-8654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME86950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009985135
—
AL
01
—
2122379
FIRST HEALTH
—
05
—
267619200
—
FL
01
—
59177073
BCBS
AL
01
—
71936
BCBS
FL
01
—
7494548
AETNA
—
Enumeration date
07/20/2005
Last updated
07/03/2018
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