Individual
DR. MICHAEL KING JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8839 BRYAN DAIRY RD, SUITE 300, LARGO, FL 33777-1203
(727) 394-1911
(727) 394-1986
Mailing address
455 PINELLAS ST, SUITE 400, CLEARWATER, FL 33756-3354
(727) 445-1992
(727) 445-1993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
136861
NY
207RC0000X
Cardiovascular Disease Physician
Primary
ME122604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01538265
—
NY
Enumeration date
10/27/2006
Last updated
11/10/2015
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