Individual
JASON DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
231 N KENTUCKY AVE STE 220, LAKELAND, FL 33801-4910
(334) 790-9661
(207) 705-5512
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29734
AL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME122537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002605700
—
FL
05
—
120420
—
AL
Enumeration date
11/15/2006
Last updated
07/07/2024
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